Phelps, Carla R.

Phelps, Carla R. is an individual health care provider with primary practice located at 1102 S Main St Ste 1 , London KY 40741-1529. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Phelps, Carla R. can be contacted via phone (606) 770-5121.

Contact Information

Primary practice address
1102 S Main St Ste 1 London KY 40741-1529
Phone: (606) 770-5121
Fax: (606) 770-5199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3903P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3003903 Kentucky

Profile Details

NPI number 1629080148
LBN Legal business name Phelps, Carla R.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Dec 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629080148 NPPES
Kentucky MEDICAID 78013547

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