Phillips, Anita Kay

Phillips, Anita Kay is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Phillips, Anita Kay can be contacted via phone (859) 301-8074.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Phone: (859) 301-8074
Fax: (859) 301-4945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3003201 Kentucky

Profile Details

NPI number 1013914688
LBN Legal business name Phillips, Anita Kay
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Feb 2nd, 2022 - about 2 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 1013914688 NPPES
Ohio MEDICAID 2526449
Ohio MEDICAID 200473650
Ohio MEDICAID 78005147

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