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Search › Illinois › 363A00000X

Kelly Phelps, PA-C

NPI 1700844925 · on the registry since 2006

Practice

Address
117 E Clark St
Harrisburg, IL 62946
Phone
(618) 252-8625
Fax
(618) 252-2540
Organisation at this address
Harrisburg Family Practice Ltd
Southern Illinois Hospital Services
Southern Illinois Hospital Services
Southern Illinois Medical Services, Nfp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Additional practice sites

  • 7211 Us 45 S, Carrier Mills, IL
  • 2808 Outer Dr, Marion, IL
  • 900 Logan College Road, Carterville, IL

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-02-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois