Phelps, Kathy Dianne

Phelps, Kathy Dianne is an individual health care provider with primary practice located at 3131 Parisa Dr , Paducah KY 42003-4584. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Phelps, Kathy Dianne can be contacted via phone (270) 444-8000.

Contact Information

Primary practice address
3131 Parisa Dr Paducah KY 42003-4584
Phone: (270) 444-8000
Fax: (270) 444-8302
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3143P Kentucky

Profile Details

NPI number 1699863514
LBN Legal business name Phelps, Kathy Dianne
Credentials APRN FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Dec 7th, 2012 - about 12 years ago

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 1699863514 NPPES
Kentucky MEDICAID 78015690
Kentucky Other 000000340382

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