Kelly Jo Phillips in Worthington - General Practice
Kelly Jo Phillips - NPI 1922167410
Kelly Jo Phillips is a General Practice in Worthington, Minnesota. Kelly Jo Phillips practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kelly Jo Phillips is 1922167410. The last update date is 2012-10-15.
Kelly Jo Phillips's current location address is 1316 Mcmillan St., Worthington, Minnesota. You can contact this provider via phone number 5073765525. The mailing address for Kelly Jo Phillips is 1316 Mcmillan St., Worthington, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly Jo Phillips |
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Address | 1316 Mcmillan St., Worthington, Minnesota |
Phone Number | 5073765525 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1922167410 |
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Provider Enumeration Date | 2006-12-08 |
Last Updated Date | 2012-10-15 |
Provider Mailing Address Detail
Address | 1316 Mcmillan St. |
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City | Worthington |
State | Minnesota (MN) |
Post Code | 56187 |
Phone Number | 5073765525 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | D12193 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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687623400 | MN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kelly Jo Phillips by the Centers for Medicare & Medicaid Services?
The Kelly Jo Phillips has been issued the NPI (National Provider Identifier) 1922167410. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kelly Jo Phillips's facilities are situated?
The facilities of Kelly Jo Phillips are physically located at the following address: 1316 Mcmillan St., Worthington, MN, 56187.
What is the area of specialization for Kelly Jo Phillips, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly Jo Phillips is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
When did Kelly Jo Phillips receive its 1922167410 assignment?
The Kelly Jo Phillips was assigned its 1922167410 on 2006-12-08, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kelly Jo Phillips, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly Jo Phillips, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-10-15.