Phillips, Kassandra Jane

Phillips, Kassandra Jane is an sole proprietor health care provider with primary practice located at 2937 Fox Chase Ln , Midlothian VA 23112-4400. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Phillips, Kassandra Jane can be contacted via phone (804) 372-3473.

Contact Information

Primary practice address
2937 Fox Chase Ln Midlothian VA 23112-4400
Phone: (804) 372-3473
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 2080I0007X 2271 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0102206067 Virginia

Profile Details

NPI number 1861698342
LBN Legal business name Phillips, Kassandra Jane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2007
Last updated Oct 29th, 2020 - about 5 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 1861698342 NPPES
West Virginia MEDICAID 3810015268

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