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1053383281
KENNETH DEAN PHILLIPS
CAPE GIRARDEAU, MO
NPI
1053383281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 106690)
Enumeration Date
2006-02-02
Last Update Date
2021-03-29
Business Address
KENNETH DEAN PHILLIPS MD
8 DOCTORS PARK
CAPE GIRARDEAU, MO 63703-4928
Phone number: 573-651-1333
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Mailing Address
KENNETH DEAN PHILLIPS MD
8 DOCTORS PARK
CAPE GIRARDEAU, MO 63703-4928
Phone number: 573-651-1333
Copy
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