Organization
KENNETH J PHELPS MD
Active
Other names
Kenneth Phelps MD & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J PHELPS MD (MD)
(931) 359-3551
Entity
Organization
Contact information
Practice address
304 W CHURCH ST, LEWISBURG, TN 37091-2730
(931) 359-3551
(931) 359-8421
Mailing address
304 W CHURCH ST, LEWISBURG, TN 37091-2730
(931) 359-3551
(931) 359-8421
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD7988
TN
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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