MR. KENNETH L PHILLIPS JR.


Address: 15026 La Jolla Pl, Colorado Springs, CO 80921-2564
Phone: 7194885500

MR. KENNETH L PHILLIPS JR. (NPI# 1366452401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366452401
Entity Type Individual
Full Name MR. KENNETH L PHILLIPS JR.
Credential PA-C
Practice Address 15026 La Jolla Pl
Colorado Springs
CO 80921-2564
Practice Telephone 7194885500
Practice Fax Number 7194885500
Mailing Telephone 7194885500
Mailing Fax Number 7194885500
Enumeration Date 2006-08-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
207 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 63106523 05

Other Providers KENNETH PHILLIPS

NPI Name Taxonomy Address Enumeration
1376801555 Kenneth Gale Phillips Preventive Medicine 3415 Bridgefield Dr, Lakeland, FL 33803-5914 2012-04-25
1285709626 Kenneth A Phillips Optometrist 314 Honesdale Road, Waymart, PA 18472-0310 2006-11-21
1629159017 Kenneth Phillips Emergency Medicine 931 Nokomis Cir, Lancaster, TX 75146-5137 2006-10-18
1205932407 Kenneth K Phillips Jr. Podiatrist 74090 El Paso, Suite 100, Palm Desert, CA 92260 2006-09-15
1144324575 Kenneth Roswell Phillips Internal Medicine 16 Paul Ave, Warwick, RI 02886-7317 2006-09-07
1306852868 Kenneth R Phillips Dentist 3165 Maplewood Ave, Winston Salem, NC 27103-3919 2006-08-01
1194221408 Kenneth L Phillips Counselor 1058 S Governors Ave Ste 102, Dover, DE 19904-6920 2018-04-04
1871867119 Kenneth David Phillips Counselor 8901 New Hampshire Ave, Silver Spring, MD 20903-3611 2012-03-05
1821368366 Kenneth Phillips Sr. Counselor 777 Seaview Ave, Staten Island, NY 10305-3409 2011-12-30
1467739037 Kenneth Dale Phillips Registered Nurse 12033 Agency Rd, Parker, AZ 85344-7718 2011-11-10

Office Location

Street Address 15026 LA JOLLA PL
City COLORADO SPRINGS
State CO
Zip Code 80921-2564

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1417519893 Michelle Wright Counselor 11681 Voyager Parkway, Suite 150, Colorado Springs, CO 80921 2019-07-05
1780241083 Lindsay Afton Barker Counselor Whole Kids Co., 11681 Voyager Pkwy, Ste 150, Colorado Springs, CO 80921 2019-05-22
1063076321 Octavia Cormier Counselor 11681 Voyager Pkwy, Unit 150, Colorado Springs, CO 80921 2019-04-23
1225538630 Northgate Family Chiropractic LLC Chiropractor 12245 Voyager Pkwy Ste 124, Colorado Springs, CO 80921 2018-02-13
1942712351 Candace Grace Kaminski Massage Therapist 59 Avocet Loop, Colorado Springs, CO 80921 2017-10-26
1801319108 Rebecca Freed Physical Therapist 13570 Northgate Estates Dr. Ste 100, Colorado Springs, CO 80921 2017-07-19
1174076582 Jan L Wilkenson Counselor Heart Matters Counseling Center, 13550 Northgate Estates Drive, #200, Colorado Springs, CO 80921 2016-08-02
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851726681 Lisa Kay Adams Physician Assistant 525 N Foote Ave Ste 202, Colorado Springs, CO 80909-4501 2013-09-11
1992945208 Susan Gardiner Cump Physician Assistant 2940n Circle Dr, Colorado Springs, CO 80909-1160 2009-02-26
1356591762 Johnathon D. Kupfner Physician Assistant 1584 Jackson Creek Parkway, Ste 120, Colorado Springs, CO 80132 2008-09-22
1427218916 Gary Patrick Tocci Physician Assistant 9310 Sky King Dr, Colorado Springs, CO 80924-2020 2008-06-10
1619144888 Laurie K Redding Physician Assistant 2130 Hollow Brook Dr, Suite 100, Colorado Springs, CO 80918-8400 2008-05-15
1760520746 Donald Ray Lawson Physician Assistant 7667 Steward Ln, Colorado Springs, CO 80922-6327 2007-02-02
1245321140 Kim Redinger Physician Assistant 1740 Pepperwood Dr, Colorado Springs, CO 80910-1525 2006-09-27
1770538159 Jane D Brockhausen Physician Assistant 5799 Stetson Hills Blvd Ste 100, Colorado Springs, CO 80917-4223 2006-05-23
1033173851 Michael E Young Physician Assistant 2222 N Nevada Ave Ste 5011, Colorado Springs, CO 80907-6819 2006-04-17
1295706075 Cathy A. Hall Physician Assistant 1106 N Cascade Avenue, Colorado Springs, CO 80903 2006-01-30
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Competitor

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City COLORADO SPRINGS
Zip Code 80921

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Dataset Information

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.

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