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Individual
LESLIE GAYLE PHELPS
Active
Individual
LESLIE GAYLE PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANCC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007920
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100243140
—
KY
Enumeration date
02/26/2013
Last updated
03/17/2021
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