KENDALL LEIGH PHILLIPS (NPI# 1306840327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306840327 |
| Entity Type | Individual |
| Full Name | KENDALL LEIGH PHILLIPS |
| Other Name | KENDALL PHILLIPS YATES |
| Credential | PA |
| Practice Address |
1110 N Lee Ave Oklahoma City OK 73103-2612 |
| Practice Telephone | 4052309000 |
| Practice Fax Number | 4052309421 |
| Mailing Telephone | 4052309000 |
| Mailing Fax Number | 4052309421 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2008-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598325912 | Kendall Phillips | Behavior Technician | 1409 W Carroll Ave, Chicago, IL 60607-1105 | 2019-06-18 |
| 1528414372 | Kendall Phillips | Counselor | 1511 Upland Dr, Suite 100, Houston, TX 77043-4710 | 2016-05-11 |
| Street Address |
1110 N LEE AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73103-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871959239 | Andrew Blake Smith | Physician Assistant | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2016-01-14 |
| 1891925046 | Kathryn Lynne Wood | Physical Therapist | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2009-07-22 |
| 1629024161 | St. Anthony Midtown Ambulatory Surgery Center | Clinic/Center | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2006-05-26 |
| 1942260013 | Philip Sherwood Shurley | Physician Assistant | 1110 N Lee Ave, Mcbride Clinic, Inc., Oklahoma City, OK 73103-2612 | 2006-03-24 |
| 1578562864 | John Patrick Evans | Orthopaedic Surgery | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2005-07-19 |
| 1518966142 | Scott Loray Rose | Physician Assistant | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2005-07-15 |
| 1053319889 | Mcbride Clinic Inc | Occupational Therapist | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2005-07-14 |
| 1952309155 | Larry Grant Willis | Internal Medicine | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2005-07-12 |
| 1649278987 | Robert Fryer Hynd | Internal Medicine | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
| 1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
| 1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
| 1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
| 1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
| 1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
| Find all providers in zip 73103 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093290132 | Nisha Panta | Physician Assistant | 4120 W Memorial Rd # 300, Oklahoma City, OK 73120-9322 | 2018-09-25 |
| 1104216662 | Morgan Hanni | Physician Assistant | 3520 Nw 20th St, Oklahoma City, OK 73107-2818 | 2015-02-04 |
| 1518204056 | Dustin William Tims | Physician Assistant | 11317 S Western Ave Ste 300, Oklahoma City, OK 73170-5848 | 2013-01-03 |
| 1710282660 | Amir Raza | Physician Assistant | 925 Ne 13th Street, Cho 2mr2000d, Oklahoma City, OK 73104-5068 | 2011-01-24 |
| 1104131721 | Central Pa | Physician Assistant | 10701 Pond Meadow Dr, Oklahoma City, OK 73151-9149 | 2010-08-09 |
| 1508855677 | Mark Daniel Johnson | Physician Assistant | 13401 N Western Ave Ste 301, Oklahoma City, OK 73114-1411 | 2005-10-20 |
| 1649642919 | Eric Ramos | Physician Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2015-10-27 |
| 1649664392 | Kayla Michelle Hale | Physician Assistant | 13904 Quailbrook Dr, Oklahoma City, OK 73134-1718 | 2015-03-20 |
| 1972992485 | Nathan James Charlton | Physician Assistant | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2015-01-21 |
| 1902294812 | Lauren Zahra Hink | Physician Assistant | 1000 N Lincoln Blvd, Oklahoma City, OK 73104-3252 | 2014-12-30 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.