KENNETH RICHARD PHELPS

JACKSONVILLE, FL
NPI1669807210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9107403)
Enumeration Date2013-09-13
Last Update Date2021-02-26
Business Address
KENNETH RICHARD PHELPS PA-C
3599 UNIVERSITY BLVD S BLDG. 300
JACKSONVILLE, FL 32216-4252
Phone number: 904-399-5550
Mailing Address
KENNETH RICHARD PHELPS PA-C
PO BOX 200096
CARTERSVILLE, GA 30120-9002
Phone number: 678-905-7053
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