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Individual
KRISTI PHELPS
Active
Individual
KRISTI PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.004397RX
OH
363A00000X
Physician Assistant
Primary
PA2188
KY
363A00000X
Physician Assistant
TC552
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139671
—
OH
Enumeration date
07/24/2015
Last updated
02/11/2026
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