Phillips, Kimberly Ann

Phillips, Kimberly Ann is an sole proprietor health care provider with primary practice located at 1312 E Lumsden Rd , Brandon FL 33511-6717. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Phillips, Kimberly Ann can be contacted via phone (813) 409-3998.

Contact Information

Primary practice address
1312 E Lumsden Rd Brandon FL 33511-6717
Phone: (813) 409-3998
Fax: (800) 379-8041
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036960 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME142657 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME142657 Florida

Profile Details

NPI number 1457359192
LBN Legal business name Phillips, Kimberly Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Jul 29th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457359192 NPPES
Connecticut MEDICAID 004215944

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