Phillips, Kenneth J.

Phillips, Kenneth J. is an individual health care provider with primary practice located at 3003 W Good Hope Rd , Milwaukee WI 53209-2042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Phillips, Kenneth J. can be contacted via phone (414) 352-3100.

Contact Information

Primary practice address
3003 W Good Hope Rd Milwaukee WI 53209-2042
Phone: (414) 352-3100
Fax: (414) 247-4597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 40558 Wisconsin

Profile Details

NPI number 1982638318
LBN Legal business name Phillips, Kenneth J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 10th, 2023 - about 3 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 1982638318 NPPES
Wisconsin Other P00470795 RR MEDICARE
Wisconsin MEDICAID 32492100 RR MEDICARE

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