Individual
KATHLEEN M PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4620 N US HIGHWAY 31 N, TRAVERSE CITY, MI 49686-3757
(231) 938-2010
(231) 938-2012
Mailing address
PO BOX 213, CADILLAC, MI 49601-0213
(231) 775-6076
(231) 775-0027
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301061043
MI
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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