DR. KELLY D PHELPS (NPI# 1184827727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184827727 |
| Entity Type | Individual |
| Full Name | DR. KELLY D PHELPS |
| Credential | MD |
| Practice Address |
1367 Stewartstown Rd # X17 Morgantown WV 26505-8045 |
| Practice Telephone | 3045984000 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396065652 | Kelly Phelps | Physical Therapy Assistant | 118 Medical Dr, Carmel, IN 46032-2923 | 2010-06-09 |
| 1356678130 | Kelly Ann Phelps | Counselor | 91 Timberlane Rd, Waynesville, NC 28786-7927 | 2009-11-16 |
| 1396919684 | Kelly Phelps | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2008-04-17 |
| 1235353285 | Kelly Phelps | Psychologist | 115 Mill St, Belmont, MA 02478-1041 | 2007-04-12 |
| 1831270073 | Kelly C Phelps | Emergency Medicine | 203 S Daisy St, Salmon, ID 83467-0000 | 2006-10-17 |
| 1700844925 | Kelly L Phelps | Physician Assistant | 117 E Clark St, Harrisburg, IL 62946-2702 | 2006-05-04 |
| Street Address |
1367 STEWARTSTOWN RD # X17 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-8045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358149 | Jamara Washington | Student in an Organized Health Care Education/Training Program | 5000 Domain Dr Apt 715, Morgantown, WV 26501-2528 | 2020-08-30 |
| 1275146540 | Virginia Fay Honaker | Student in an Organized Health Care Education/Training Program | 5000 Station St Apt 1012, Morgantown, WV 26508-7442 | 2020-08-26 |
| 1487282554 | Michael Joseph Dugan IIi | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr Rm 1200, Morgantown, WV 26505-3409 | 2020-04-01 |
| 1295363646 | Catherine Maxine Powers | Student in an Organized Health Care Education/Training Program | 385 Dorsey Ave, Morgantown, WV 26501-6460 | 2020-03-31 |
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1679100127 | Joshua James Hurley | Student in an Organized Health Care Education/Training Program | 17 Van Gilder St, Morgantown, WV 26505-1760 | 2020-03-25 |
| 1629605399 | Rehab Othman Mohamed | Student in an Organized Health Care Education/Training Program | 206 Carmell Ct, Morgantown, WV 26505-7801 | 2020-03-24 |
| 1427684471 | Ameneh Zare Shahabadi | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Fl 5, Morgantown, WV 26506-1200 | 2020-03-20 |
| 1831725985 | Ion Prisneac | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr Rm 4601, Morgantown, WV 26505-3409 | 2020-03-20 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on DR. KELLY D PHELPS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.