Individual
KEVIN DANIEL PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, STE 300, CHARLOTTE, NC 28204-2963
(704) 446-2060
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2018-01724
NC
207XX0801X
Orthopaedic Trauma Physician
2018-01724
NC
Other
Enumeration date
04/13/2011
Last updated
07/15/2024
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