| NPI | 1215995360 |
|---|---|
| Other Name | KEN PHILLIPS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 3874) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-10878) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-11-07 |