Search › California › 174400000X
Kelly Phillips
NPI 1700403524 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4650 Fruitvale Rd
Newcastle, CA 95658 - Phone
- (530) 488-0713
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 1744G0900X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California