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Kyle Phillips

  • Male

Medical Specialty

Professional ID

  • NPI: 1568691905
  • PECOS ID: 0941525935
  • Enrollment ID: I20170424002011
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2012

Hospital Service

  • Hospital CCN1: 060008
  • Business Name (LBN)1: San Luis Valley Health

Medical Practices

  • Organization Name: Valley-wide Health Systems, Inc
  • Group Practice ID assigned by PECOS: 5991609067
  • Number of Group Practice member: 28

Location

  • Address1: 106 Blanca Ave
  • Address2: Suite 300
  • City: Alamosa
  • State: Colorado
  • Zip Code: 81101
  • Phone Number: (719)589-3658

Location

  • Address1: 1710 1st St
  • Address2:
  • City: Alamosa
  • State: Colorado
  • Zip Code: 81101
  • Phone Number: (719)589-3658

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):