Gillian Jerleen Phelps, csfa
Specialist/Technologist, Other, Surgical Technologist in Somerset, KY. Individual provider (NPI-1).
NPI number1619754637
StatusActive
Last updated in NPPESSep 12, 2023
Details
- NPI
- 1619754637
- Entity type
- Individual (NPI-1)
- Name
- Gillian Jerleen Phelps
- Credential
- csfa
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2023
- Certification date
- Aug 28, 2023
- Last updated
- Sep 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | TSA057 | KY | Yes |
Practice location
305 Langdon StSomerset, KY 42503-2750
Phone 606-679-7441
Mailing address
74 Hermosa DrSomerset, KY 42503-5652
Phone 704-775-6762
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