PHILLIP R KINGMA

CARMEL, IN
NPI1629038419
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: IN  01040487)
Enumeration Date2006-03-24
Last Update Date2022-10-21
Business Address
PHILLIP R KINGMA M.D.
12289 HANCOCK ST STE 34
CARMEL, IN 46032-5888
Phone number: 317-815-8950
Mailing Address
PHILLIP R KINGMA M.D.
12289 HANCOCK ST STE 34
CARMEL, IN 46032-5888
Phone number: 317-815-8950
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