Individual
CARLA R. PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1102 S MAIN ST STE 1, LONDON, KY 40741-1529
(606) 770-5121
(606) 770-5199
Mailing address
PO BOX 689, LONDON, KY 40743-0689
(606) 864-7337
(606) 878-3257
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3903P
KY
363LF0000X
Family Nurse Practitioner
Primary
3003903
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78013547
—
KY
Enumeration date
08/13/2006
Last updated
12/20/2023
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