Provider Demographics
NPI:1710502042
Name:PHILLIPS, JOHNATHON FRANKLIN (MD)
Entity type:Individual
Prefix:DR
First Name:JOHNATHON
Middle Name:FRANKLIN
Last Name:PHILLIPS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2340 E MEYER BLVD STE 480
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1116
Mailing Address - Country:US
Mailing Address - Phone:816-276-1700
Mailing Address - Fax:816-276-1703
Practice Address - Street 1:2340 E MEYER BLVD STE 480
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1116
Practice Address - Country:US
Practice Address - Phone:816-276-1700
Practice Address - Fax:816-276-1703
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA336951207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine