Individual
DR. NATHANIEL COLE PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 827-7700
Mailing address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 827-7700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04139
KY
207Q00000X
Family Medicine Physician
Primary
04139
KY
207Q00000X
Family Medicine Physician
R3589
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100383980
—
KY
01
—
K188540
MEDICARE
KY
Enumeration date
06/24/2015
Last updated
01/22/2021
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