Kelly L Phelps in Carbondale - Physician Assistant
Kelly L Phelps - NPI 1700844925
Kelly L Phelps is a Physician Assistant in Carbondale, Illinois. Kelly L Phelps practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly L Phelps is 1700844925. The last update date is 2021-02-16.
Kelly L Phelps's current location address is Po Box 3988, Carbondale, Illinois. You can contact this provider via phone number 6184575200 and fax number 6185290586. The mailing address for Kelly L Phelps is Po Box 3988, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly L Phelps |
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Address | Po Box 3988, Carbondale, Illinois |
Phone Number | 6184575200 |
Fax Number | 6185290586 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1700844925 |
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Provider Enumeration Date | 2006-05-04 |
Last Updated Date | 2021-02-16 |
Provider Mailing Address Detail
Address | Po Box 3988 |
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City | Carbondale |
State | Illinois (IL) |
Post Code | 629023988 |
Phone Number | 6184575200 |
Fax Number | 6185290586 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 85001033 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique provider identifier assigned to Kelly L Phelps?
The Kelly L Phelps has been issued the NPI (National Provider Identifier) 1700844925 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Kelly L Phelps located?
The Kelly L Phelps is located at Po Box 3988, Carbondale, IL 629023988.
What is Kelly L Phelps's area of expertise and its corresponding taxonomy classification?
The Kelly L Phelps's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did Kelly L Phelps receive its 1700844925 assignment?
The Kelly L Phelps was assigned its 1700844925 on 2006-05-04, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Kelly L Phelps most recently updated or revised?
The information pertaining to Kelly L Phelps, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-16.