Individual
MR. PHELPS FREDERIC POND JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN, CNS
Contact information
Practice address
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DR., FORT CAMPBELL, KY 42223-5349
(270) 798-8372
(270) 956-0180
Mailing address
650 JOEL DR., FORT CAMPBELL, KY 42223-5349
(270) 798-8372
(270) 956-0180
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
459031
TX
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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