Individual
KAREN S PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7500 STATE RD, ANESTHESIA INTENSIVE CARE CONSULTANTS INC, CINCINNATI, OH 45255-2439
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, SUITE 258 ANESTHESIA INTENSIVE CARE CONSULTANTS INC, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201954
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000252677
ANTHEM BLUE SHIELD
—
05
—
200380700
—
IN
05
—
2094264
—
OH
01
—
617603
WELLCARE
KY
05
—
74005927
—
KY
Enumeration date
12/08/2005
Last updated
11/04/2011
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