Individual
DR. KENNETH RAYMOND PHELPS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5176
(518) 262-5573
Mailing address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5176
(518) 262-5573
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
126748-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00749188
—
NY
Enumeration date
09/19/2005
Last updated
07/08/2007
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