DR. KENNETH GALE PHILLIPS (NPI# 1376801555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376801555 |
Entity Type | Individual |
Full Name | DR. KENNETH GALE PHILLIPS |
Credential | MD |
Practice Address |
3415 Bridgefield Dr Lakeland FL 33803-5914 |
Practice Telephone | 8636472488 |
Practice Fax Number | 8637017176 |
Mailing Telephone | 8636472488 |
Mailing Fax Number | 8637017176 |
Enumeration Date | 2012-04-25 |
Last Update Date | 2012-04-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
ME68126 | FL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1366452401 | Kenneth L Phillips Jr. | Physician Assistant | 15026 La Jolla Pl, Colorado Springs, CO 80921-2564 | 2006-08-09 |
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 |
Street Address |
3415 BRIDGEFIELD DR |
City | LAKELAND |
State | FL |
Zip Code | 33803-5914 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255565768 | Karen Candace Carlson | Preventive Medicine | 3415 Bridgefield Dr, Lakeland, FL 33803-5914 | 2009-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
Find all providers in zip 33803 |
Taxonomy Code | 2083X0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Occupational Medicine |
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447709514 | U.S. Healthworks Medical Group of Florida, Inc. | Preventive Medicine | 5040 Us Highway 98 N, Lakeland, FL 33809-0511 | 2016-09-29 |
1710285796 | Saint Clares Medical Clinic | Preventive Medicine | 5131 S Florida Ave, Suite 1, Lakeland, FL 33813-2514 | 2011-03-01 |
1255565768 | Karen Candace Carlson | Preventive Medicine | 3415 Bridgefield Dr, Lakeland, FL 33803-5914 | 2009-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
1740707165 | Hannah Wyman | Preventive Medicine | 9182 Roan Ln, Lake Park, FL 33403-1030 | 2017-08-25 |
1881145407 | U.S. Healthworks Medical Group of Florida, Inc. | Preventive Medicine | 5406 Hoover Blvd Ste 21, Tampa, FL 33634-5330 | 2016-10-19 |
1518416668 | U.S. Healthworks Meddical Group of Florida, Inc. | Preventive Medicine | 3012 N Us Highway 301, Suite 100, Tampa, FL 33619-2274 | 2016-09-30 |
1093264178 | U.S. Healthworks Medical Group of Florida, Inc. | Preventive Medicine | 1109 Se 10th St, Ocala, FL 34471-4570 | 2016-09-29 |
1134678394 | U.S. Healthworks Medical Group of Florida, Inc. | Preventive Medicine | 1786 Nw 2nd Ave, Boca Raton, FL 33432-1653 | 2016-09-29 |
1205385390 | U.S. Healthworks Medical Group of Florida, Inc. | Preventive Medicine | 8010 Sunport Dr, Unit 116, Orlando, FL 32809-8112 | 2016-09-29 |
1922494004 | Karen Olson | Preventive Medicine | 2712 Laurel Oak Dr, Plant City, FL 33566-6740 | 2015-04-15 |
1528301132 | Michael David Deveau | Preventive Medicine | 8318 N Habana Ave, Tampa, FL 33614 | 2013-04-02 |
1184963415 | Juan Carlos Alonso | Preventive Medicine | 6221 Nw 36th Street, Miami, FL 33166 | 2013-02-06 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. KENNETH GALE PHILLIPS.
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.