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1366452401
KENNETH L PHILLIPS
COLORADO SPRINGS, CO
NPI
1366452401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CO 207)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
Mr. KENNETH L PHILLIPS PA-C
15026 LA JOLLA PL
COLORADO SPRINGS, CO 80921-2564
Phone number: 719-488-5500
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Mailing Address
Mr. KENNETH L PHILLIPS PA-C
15026 LA JOLLA PL
COLORADO SPRINGS, CO 80921-2564
Phone number: 719-488-5500
Copy
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