Kenneth J Phelps MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD7988 Issued in TN

Legal business name

KENNETH J PHELPS MD

Doing business as

Kenneth Phelps MD & Associates

Practice address

304 W Church St
Lewisburg, TN 37091-2730

Phone

(931) 359-3551

Fax

(931) 359-8421

NPI assigned

Apr 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth J Phelps, MD

Title

MD

Phone

(931) 359-3551

Specialties & licenses 1

Addresses

Other names 1

• Kenneth Phelps MD & Associates Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275759011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W CHURCH ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912730",
            "telephone_number": "931-359-3551",
            "fax_number": "931-359-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W CHURCH ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912730",
            "telephone_number": "931-359-3551",
            "fax_number": "931-359-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J PHELPS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "931-359-3551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD7988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth Phelps MD & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Michael Johnson, PHARM.D.
• Linda Johnson
• Jeffrey Lawrence Jordan, O.D.
• Sara Jessica Jowers-Rea, B.S.
• Cynthia Elaine Kelley, APN-BC
• Michael E. Keny, D.PH
• Wendy Denise Kerr, DOULA
• Deborah Kimbrough, RN
• Amber King
• Kimberly King, SLP-CCC

• Specialist in Lewisburg, TN
• Providers in Lewisburg, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.