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David Allen Phillips
Optician in Benton, Kentucky
NPI 1760112890

David Allen Phillips is a Optician based in Benton, KY and is specialized in Optician. David Allen Phillips practices in Benton, KY. The NPI Number for David Allen Phillips is 1760112890 and holds a License No. 110103 (Kentucky).

The current practice location address for David Allen Phillips is 310 W 5Th St, Benton, KY and can be reached out via phone at 270-527-1348 and via fax at 270-527-9593.

Location: 310 W 5Th St, Benton, KY, 42025-1102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760112890
Provider Name
David Allen Phillips
Credential
Provider Entity Type
Individual
Gender
Male
Address
310 W 5Th St, Benton, KY, 42025-1102
Phone Number
270-527-1348
Fax Number
270-527-9593
Provider Enumeration Date
06/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
310 W 5Th St
City
Benton
State
Kentucky
Zip
42025-1102
Phone Number
270-527-1348
Fax Number
270-527-9593
person
Provider Business Mailing Address Details
Address
310 W 5Th St
City
Benton
State
Kentucky
Zip
42025-1102
Phone Number
270-527-1348
Fax Number
270-527-9593
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
110103 (Kentucky)
Definition
Definition to come...
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