Individual
DR. PHELPS C KIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6630 S MCCARRAN BLVD, SUITE A-4, RENO, NV 89509-6158
(775) 828-2873
(775) 828-2889
Mailing address
6630 S MCCARRAN BLVD, SUITE A-4, RENO, NV 89509-6158
(775) 828-2873
(775) 828-2889
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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