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Dr. Kelly Phillips, PHD
Student in an Organized Health Care Education/Training Program in Culver City, California
NPI 1518595859

Kelly Phillips is a Student in an Organized Health Care Education/Training Program based in Culver City, CA. Kelly Phillips practices in Culver City, CA and has the professional credentials of PHD. The NPI Number for Kelly Phillips is 1518595859 and holds a License No. PSB94023963 (California).

The current practice location address for Kelly Phillips is 5800 Hannum Ave Ste 105, Culver City, CA and can be reached out via phone at 310-410-9504 and via fax at 310-410-9507.

Location: 5800 Hannum Ave Ste 105, Culver City, CA, 90230-6553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518595859
Provider Name
Kelly Phillips
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
5800 Hannum Ave Ste 105, Culver City, CA, 90230-6553
Phone Number
310-410-9504
Fax Number
310-410-9507
Provider Enumeration Date
03/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5800 Hannum Ave Ste 105
City
Culver City
State
California
Zip
90230-6553
Phone Number
310-410-9504
Fax Number
310-410-9507
person
Provider Business Mailing Address Details
Address
5800 Hannum Ave Ste 105
City
Culver City
State
California
Zip
90230-6553
Phone Number
310-410-9504
Fax Number
310-410-9507
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PSB94023963 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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