Karen J Phillips
Individual provider Active NPI Driver · Lexington, KY
NPI 1619714904 · NPPES record last updated Jul 12, 2024
Key facts
- NPI
- 1619714904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 1351 Newtown Pike # 1351
Lexington, KY 40511-1275 - Phone
- (859) 253-1686
- NPI assigned
- Jul 12, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | KY | Yes |
Addresses
Primary practice location
1351 Newtown Pike # 1351
Lexington, KY 40511-1275
Mailing address
1351 Newtown Pike # 1351
Lexington, KY 40511-1275
Phone (859) 253-1686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731081 | Medicaid | KY |
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.