NPI 1033695325

Keith Phillips

Practitioner Home Modifications Contractor Harrisburg, IL

Practice location

Address: 22 Veterans Dr, Harrisburg, IL 62946-3320
Phone: (618) 252-0275
Fax: (618) 252-2389
Mailing address: PO Box 869, Harrisburg, IL 62946-0869

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X

Other Contractor providers in Illinois →

Registry record

NPI: 1033695325
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2018
Record last updated: 19 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.