Kelly Phillips

NPI #1700403524 in Newcastle, California

Provider Information

NPI Number: 1700403524
Entity Type: Individual
Name: Kelly Phillips
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 27, 2020
Last Updated: Jun 27, 2020

Practice Location

Address: 4650 FRUITVALE RD
City: Newcastle
State: California
ZIP Code: 95658-9240
Phone: (530) 488-0713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist - Graphics Designer — Graphics Designer	1744G0900X
Specialist	174400000X	Primary

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