Kick, Phillip Stephen

Kick, Phillip Stephen is an individual health care provider with primary practice located at 5881 W 16Th St , Greeley CO 80634-2910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kick, Phillip Stephen can be contacted via phone (970) 353-1551.

Contact Information

Primary practice address
5881 W 16Th St Greeley CO 80634-2910
Phone: (970) 353-1551
Fax: (970) 350-2478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 231126 Massachusetts
Allopathic & Osteopathic Physicians / Urology 208800000X DR.0057971 Colorado

Profile Details

NPI number 1801004197
LBN Legal business name Kick, Phillip Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Apr 21st, 2017 - about 8 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 1801004197 NPPES
Colorado MEDICAID 9000143001

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