Phillips, Kevin C

Phillips, Kevin C is an individual health care provider with primary practice located at 6801 Rogers Ave , Fort Smith AR 72903-4067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Phillips, Kevin C can be contacted via phone (479) 274-3400.

Contact Information

Primary practice address
6801 Rogers Ave Fort Smith AR 72903-4067
Phone: (479) 274-3400
Fax: (479) 274-3499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X C-6868 Arkansas

Profile Details

NPI number 1881616258
LBN Legal business name Phillips, Kevin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Sep 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881616258 NPPES
Arkansas MEDICAID 115970001
Arkansas Other 160037823

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