| Phelps Medical | |
|
115 Tradepark Dr Ste B Somerset KY 42503-3428 | |
| (606) 307-3918 | |
| Not Available |
| Full Name | Phelps Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 Tradepark Dr Ste B, Somerset, Kentucky |
| Authorized Official Name and Position | Diana Linda Phelps (OWNER) |
| Authorized Official Contact | 6063073918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phelps Medical 115 Tradepark Dr Ste B Somerset KY 42503-3428 Ph: (606) 307-3918 | Phelps Medical 115 Tradepark Dr Ste B Somerset KY 42503-3428 Ph: (606) 307-3918 |
| NPI Number | 1295563765 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 07/25/2024 |
| Medicare PECOS PAC ID | 6709314966 |
|---|---|
| Medicare Enrollment ID | O20250115003089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295563765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Diana Linda Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285220723 PECOS PAC ID: 2163835604 Enrollment ID: I20201230002085 |
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