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Contact Information

KELLY PHILLIPS
4650 FRUITVALE RD
NEWCASTLE, CA95658-9240
 Phone: 530-488-0713
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Graphics Designer

1744G0900X
Indicates primary specialty

NPI Profile & details for KELLY PHILLIPS · (Female)

NPI # 1700403524
Status Active
Credentials
Entity Individual
Enumeration date 06/27/2020
Last updated 06/27/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # Z3756
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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