Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 39256 | KY |
N | 111NI0900X | Internist | 39256 | KY |
Y | 207RH0002X | Hospice and Palliative Medicine | 39256 | KY |
NPI | 1396706594 |
---|---|
Provider Name | Dr. Denise W Phillips |
First Address | Lexington, KY 40503-1404 |
Second Address | Lexington, KY 40503-1404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 27/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I31097 | (02) | KY |