Individual
AARON PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 W 11TH ST, ROOM 4083, INDIANAPOLIS, IN 46202-4108
(317) 491-6213
(317) 491-6411
Mailing address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-1478
(270) 706-1071
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
TP166
KY
390200000X
Student in an Organized Health Care Education/Training Program
11018256A
IN
Other
Enumeration date
06/15/2015
Last updated
07/15/2020
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