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1306924022
KENNETH O. PHILLIPS
SACRAMENTO, CA
NPI
1306924022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: CA A75725)
Enumeration Date
2006-11-01
Last Update Date
2021-12-03
Business Address
KENNETH O. PHILLIPS MD
2025 MORSE AVE
SACRAMENTO, CA 95825-2115
Phone number: 916-973-5000
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Mailing Address
KENNETH O. PHILLIPS MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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