Individual
MICHAEL WOOD PHELPS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1169 EASTERN PKWY STE 1100, LOUISVILLE, KY 40217-1443
(502) 454-0352
(502) 451-3096
Mailing address
1169 EASTERN PKWY STE 1100, LOUISVILLE, KY 40217-1443
(502) 454-0352
(502) 451-3096
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
103
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103
HEARING INSTRUMENT SPECIALIST
KY
Enumeration date
06/03/2021
Last updated
06/03/2021
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