Kaitlyn Phelps
Emergency Medicine in Myrtle Beach, SC. Individual provider (NPI-1).
NPI number1083174825
StatusActive
Last updated in NPPESMar 7, 2022
Details
- NPI
- 1083174825
- Entity type
- Individual (NPI-1)
- Name
- Kaitlyn Phelps
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2019
- Certification date
- Mar 7, 2022
- Last updated
- Mar 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | MDO.82265 | SC | Yes |
Practice location
809 82nd PkwyMyrtle Beach, SC 29572-4607
Phone 843-692-1752
Mailing address
147 Village Center Blvd Unit 4314Myrtle Beach, SC 29579-5613
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All 72 Emergency Medicine Physician providers in Myrtle Beach · All 3,545 providers in Myrtle Beach
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