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Individual

KEVIN ANDREW PHELPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3333 GLENDALE AVE, TOLEDO, OH 43614
(419) 383-5555
(419) 383-3113
Mailing address
3355 GLENDALE AVE FL 3, TOLEDO, OH 43614-2426
(419) 383-5555
(419) 383-3113

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004569
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0729715
OH
Enumeration date
11/30/2005
Last updated
05/22/2018
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