National Provider Identifier Database

KELLY PHILLIPS
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

KELLY PHILLIPS
4650 FRUITVALE RD
NEWCASTLE, CA95658-9240
Phone: 530-488-0713
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Graphics Designer 1744G0900X

* Indicates primary specialty

NPI Profile & details for KELLY PHILLIPS

NPI Number 1700403524
Credentials
Entity Individual
Enumeration date 06/27/2020
Last updated 06/27/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: Z3756
Hospital affiliation n/a

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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