Kenneth O. Phillips in Sacramento - Plastic Surgery
Kenneth O. Phillips - NPI 1306924022
Kenneth O. Phillips is a Plastic Surgery in Sacramento, California. Kenneth O. Phillips practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Kenneth O. Phillips is 1306924022. The last update date is 2021-12-03.
Kenneth O. Phillips's current location address is 2025 Morse Ave, Sacramento, California. You can contact this provider via phone number 9169735000. The mailing address for Kenneth O. Phillips is 2025 Morse Ave, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth O. Phillips |
|---|---|
| Address | 2025 Morse Ave, Sacramento, California |
| Phone Number | 9169735000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306924022 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2021-12-03 |
Provider Mailing Address Detail
| Address | 2025 Morse Ave |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958252115 |
| Phone Number | 9169735000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | A75725 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A757250 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth O. Phillips by the Centers for Medicare & Medicaid Services?
The Kenneth O. Phillips has been assigned the NPI (National Provider Identifier) 1306924022. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kenneth O. Phillips is located?
The Kenneth O. Phillips is situated at the following address: 2025 Morse Ave, Sacramento, CA, 958252115.
What is Kenneth O. Phillips's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth O. Phillips's area of specialization is Plastic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208200000X.
On what date was the 1306924022 assigned to Kenneth O. Phillips?
The Kenneth O. Phillips was issued its 1306924022 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kenneth O. Phillips, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth O. Phillips, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-03.