Kip, Phelps C

Kip, Phelps C is an individual health care provider with primary practice located at 6630 S Mccarran Blvd Suite A-4, Reno NV 89509-6158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Kip, Phelps C can be contacted via phone (775) 828-2873.

Contact Information

Primary practice address
6630 S Mccarran Blvd Suite A-4 Reno NV 89509-6158
Phone: (775) 828-2873
Fax: (775) 828-2889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 6889 Nevada

Profile Details

NPI number 1154307320
LBN Legal business name Kip, Phelps C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Mar 2nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154307320 NPPES
Nevada MEDICAID 002016857
Nevada Other 11040852

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