Kelly L Phelps, PA-C

NPI #1700844925 in Harrisburg, Illinois

Provider Information

NPI Number: 1700844925
Entity Type: Individual
Name: Kelly L Phelps, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 4, 2006
Last Updated: Feb 16, 2021

Practice Location

Address: 117 E CLARK ST
City: Harrisburg
State: Illinois
ZIP Code: 62946-2702
Phone: (618) 252-8625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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