Individual
CHARLES D PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
85 SHAMROCK DR, MADISONVILLE, KY 42431-9178
(270) 339-9313
Mailing address
85 SHAMROCK DR, MADISONVILLE, KY 42431-9178
(270) 339-9313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1108916
KY
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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