Phillips, Pamela Kim

Phillips, Pamela Kim is an individual health care provider with primary practice located at 2805 5Th St 100, Rapid City SD 57701-7306. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Phillips, Pamela Kim can be contacted via phone (605) 755-5700.

Contact Information

Primary practice address
2805 5Th St 100 Rapid City SD 57701-7306
Phone: (605) 755-5700
Fax: (605) 755-3691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X S4216 Texas
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X S4216 Texas

Profile Details

NPI number 1962481044
LBN Legal business name Phillips, Pamela Kim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Feb 3rd, 2022 - about 2 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 1962481044 NPPES
Minnesota MEDICAID 473987600

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