Phillips, Kami S

Phillips, Kami S is an individual health care provider with primary practice located at 250 Green St Suite 202, Gardner MA 01440-1396. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Phillips, Kami S can be contacted via phone (978) 630-4455.

Contact Information

Primary practice address
250 Green St Suite 202 Gardner MA 01440-1396
Phone: (978) 630-4455
Fax: (978) 669-0046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 157713 Massachusetts

Profile Details

NPI number 1407824782
LBN Legal business name Phillips, Kami S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Nov 8th, 2016 - 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 1407824782 NPPES
Massachusetts MEDICAID 3186342

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