MEDICARE: KAMILA PHILLIPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.457367	OH

General Provider Information

NPI Number	:	1124408687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMILA PHILLIPS

Provider Business Mailing Address
First Line	:	1806 SKYLINE DR
Second Line	:
City	:	RICHMOND HTS
State	:	OH
Zip	:	44143-1225
Country	:	US
Telephone Number	:	216-272-0928
Fax Number	:

Provider Business Practice Location Address
First Line	:	1806 SKYLINE DR
Second Line	:
City	:	RICHMOND HTS
State	:	OH
Zip	:	44143
Country	:	US
Telephone Number	:	216-272-0928
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2015
Last Update Date	:	02/28/2020

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Directions to “ KAMILA PHILLIPS ” Practice Location

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