Samuels, Keith Phillips

Samuels, Keith Phillips is an individual health care provider with primary practice located at 50 Buck Creek Road Suite 200, Avon CO 81620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Samuels, Keith Phillips can be contacted via phone (970) 926-6340.

Contact Information

Primary practice address
50 Buck Creek Road Suite 200 Avon CO 81620
Phone: (970) 926-6340
Fax: (970) 926-6348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 44037 Colorado

Profile Details

NPI number 1144264243
LBN Legal business name Samuels, Keith Phillips
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Feb 20th, 2017 - about 7 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 1144264243 NPPES
Colorado MEDICAID 41336305

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