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KELLY PHILLIPS
NPI 1700403524
Specialist in Newcastle, CA

Active since June 27, 2020
4650 FRUITVALE RD, NEWCASTLE, CA 95658(530) 488-0713 Get Directions Write a Review

NPPES record last updated: June 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Phillips NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY PHILLIPS (NPI 1700403524) is an individual specialist in Newcastle, California, licensed in California (Z3756) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1700403524
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKELLY PHILLIPS
Location Address4650 FRUITVALE RDNewcastle, CA 95658-9240
Mailing Address4650 Fruitvale RdNewcastle, CA 95658-9240 · (530) 488-0713
Phone(530) 488-0713
Sole ProprietorYes
Enumeration DateJune 27, 2020
NPPES CertifiedJune 27, 2020
✔ NPI 1700403524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · Z3756
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedSpecialist · Graphics DesignerTaxonomy 1744G0900X
4650 FRUITVALE RD, Newcastle, CA 95658
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Phillips's NPI number?

The NPI number for Kelly Phillips is 1700403524. It was assigned to this individual provider in the NPPES registry on June 27, 2020.

Where is Kelly Phillips located?

Kelly Phillips practices at 4650 Fruitvale Rd, Newcastle, CA 95658. The listed phone number is (530) 488-0713.

What is Kelly Phillips's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly Phillips was last updated on June 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.