| Kendall Phillips, FNP | |
|
111 N 3rd St, Hugo, OK 74743-4001 | |
| (580) 372-2819 | |
| Not Available |
| Full Name | Kendall Phillips |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 111 N 3rd St, Hugo, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346819802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 204182 (Oklahoma) | Primary |
| Entity Name | Restore Family Medical Clinic Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194405308 PECOS PAC ID: 9830552579 Enrollment ID: O20230829003082 |
| Entity Name | Phillips Family Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346055050 PECOS PAC ID: 7214452952 Enrollment ID: O20250415004085 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Phillips, FNP 111 N 3rd St, Hugo, OK 74743-4001 Ph: (803) 722-8195 | Kendall Phillips, FNP 111 N 3rd St, Hugo, OK 74743-4001 Ph: (580) 372-2819 |
Casey J Woolsey, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 N 16th St, Hugo, OK 74743 Phone: 580-920-2122 Fax: 580-920-9976 | |
Lauretta White, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1267 N 4160 Rd, Hugo, OK 74743 Phone: 405-838-2911 | |
Toni Danyell Brannan, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 N 3rd St, Hugo, OK 74743 Phone: 580-326-6111 | |
Mrs. Kelli Lemke, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 204 E. Jackson St., Hugo, OK 74743 Phone: 580-326-9555 | |
Kathy Bryant, APRN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 E Jackson St, Hugo, OK 74743 Phone: 580-326-6423 Fax: 580-326-3953 | |
Deana Rae Dungan, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 E Jackson St, Hugo, OK 74743 Phone: 580-326-6423 Fax: 580-326-3660 |