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Individual

DR. PHELPS C KIP

Active
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Individual

DR. PHELPS C KIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
6889
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002016857
NV
01
11040852
CAQH
NV
Enumeration date
12/20/2005
Last updated
03/02/2010
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