Phillips, Kelly

Phillips, Kelly is an sole proprietor health care provider with primary practice located at 4650 Fruitvale Rd , Newcastle CA 95658-9240. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Graphics Designer, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Phillips, Kelly can be contacted via phone (530) 488-0713.

Contact Information

Primary practice address
4650 Fruitvale Rd Newcastle CA 95658-9240
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Graphics Designer 1744G0900X
Other Service Providers / Specialist 174400000X Z3756 California

Profile Details

NPI number 1700403524
LBN Legal business name Phillips, Kelly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2020
Last updated Jun 27th, 2020 - about 4 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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