Phelps, Kenneth Raymond
Phelps, Kenneth Raymond is an individual health care provider with primary practice located at 47 New Scotland Ave , Albany NY 12208-3412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Phelps, Kenneth Raymond can be contacted via phone (518) 262-5176.Contact Information
Primary practice address
47 New Scotland Ave
Albany NY 12208-3412
Phone: (518) 262-5176
Fax: (518) 262-5573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 126748-1 | New York |
Profile Details
| NPI number | 1831184670 |
|---|---|
| LBN Legal business name | Phelps, Kenneth Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831184670 | NPPES |
| New York | MEDICAID | 00749188 |
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