| NPI | 1063584209 |
|---|---|
| Former Name | KIMBERLY ANN PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3006789) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2016-01-29 |