Individual
KRISSHELLE ANN PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
711 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4717
(405) 583-7833
Mailing address
204 N PECAN ST, CLARKSVILLE, TX 75426-3013
(903) 280-2878
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
175775
TX
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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