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Contact Information

KASSANDRA J PHILLIPS, DO
2937 FOX CHASE LN
MIDLOTHIAN, VA23112-4400
 Phone: 804-372-3473
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Clinical & Laboratory Immunology

2080I0007X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KASSANDRA J PHILLIPS · (Female)

NPI # 1861698342
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/22/2007
Last updated 10/29/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0102206067
  • WV License # 2271
  • WV Medicaid 3810015268
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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