Larry Shawn Phillips

NPI #1639987357 in Jamestown, Kentucky

Provider Information

NPI Number: 1639987357
Entity Type: Individual
Name: Larry Shawn Phillips
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 27, 2024
Last Updated: Dec 27, 2024

Practice Location

Address: 119 HEREFORD CURVE ROAD
City: Jamestown
State: Kentucky
ZIP Code: 42629
Phone: (270) 343-4108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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