| Doctor Name: | RUSSELL GLENN PHILLIPS |
| NPI Number: | 1013285071 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | HEARING SPECIALIST |
| License Number: | KY0955 |
| Business Practice Address: | 103 C. Michael Davenport Blvd. Suite 2 Frankfort, KY - 40601 |
| Business Phone Number: | 5023522468 |
| Business Fax Number: | 5023522472 |
| Mailing Address: | 103 C. Michael Davenport Blvd., Suite 2 FRANKFORT |
| State: | KY |
| Postal Code: | 40601 |
| Phone Number: | 5023522468 |
| Fax Number: | 5023522472 |
| NPI Enumeration Date: | 12/06/2011 |
| NPI Last Update Date: | 12/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237700000X |
| License Number: | KY0955 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Hearing Instrument Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |