KENNETH J PHELPS MD NPI 1275759011

NPI Information

  • NPI: 1275759011
  • Provider Name: KENNETH J PHELPS MD
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: KENNETH PHELPS MD & ASSOCIATES
  • Address: 304 W CHURCH ST
    LEWISBURG, TN
    ZIP 37091
  • Phone: (931) 359-3551

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NPI Details

KENNETH J PHELPS MD is a specialist in Lewisburg, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KENNETH J PHELPS MD NPI is 1275759011. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Kenneth Phelps Md & Associates.

The provider's business location address is:

304 W CHURCH ST
LEWISBURG, TN
ZIP 37091-730
Phone: (931) 359-3551
Fax: (931) 359-8421

The provider's authorized official is Kenneth J Phelps .
The authorized official title is Md and has the following contact phone number (931) 359-3551.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD7988TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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