Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth K Phillips Jr., DPM

Individual provider Podiatrist · NPI 1205932407

Dr. Kenneth K Phillips Jr., DPM is a Podiatry in Palm Desert, California. Graduated from California School of Podiatric Medicine in 1985, 41 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

74090 El Paso Ste 100
Palm Desert, CA 92260
Phone: (760) 773-3338
Fax: (760) 779-8242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E3419 (CA)

Record details

NPI number1205932407
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESNovember 19, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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