KELLY L PHELPS PA-C
NPI 1700844925
Physician Assistant in Harrisburg, IL

Active since May 04, 2006
117 E CLARK ST, HARRISBURG, IL 62946(618) 252-8625(618) 252-2540 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Feb 16, 2021, May 6, 2019 (2 updates tracked since 2019).

About Kelly L Phelps Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY L PHELPS PA-C (NPI 1700844925) is an individual physician assistant in Harrisburg, Illinois, licensed in Illinois (085001033) and active in the NPI registry since May 2006. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1700844925
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY L PHELPSCredential: PA-C
Location Address117 E CLARK STHarrisburg, IL 62946-2702
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200 · Fax (618) 529-0586
Fax(618) 252-2540
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
✔ NPI 1700844925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085001033
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
117 E CLARK ST, Harrisburg, IL 62946

Secondary Practice Locations 3

Location 17211 US 45 SCarrier Mills, IL 62917-1305 · Phone (618) 994-2321 · Fax (618) 994-2034
Location 22808 Outer DrMarion, IL 62959-5207 · Phone (618) 993-3817 · Fax (618) 993-3908
Location 3900 Logan College RoadCarterville, IL 62918 · Phone (618) 956-9202 · Fax (618) 956-9205

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
117 E CLARK ST
HARRISBURG, IL 62946
Surgery
117 E CLARK ST, SIH MEDICAL GROUP PRIMARY CARE HARRISBURG
HARRISBURG, IL 62946
Physical Therapist
117 E CLARK ST
HARRISBURG, IL 62946
Nurse Practitioner
117 E CLARK ST
HARRISBURG, IL 62946
Family Medicine
117 E CLARK ST
HARRISBURG, IL 62946
Massage Therapist
117 E CLARK ST
HARRISBURG, IL 62946
Social Worker (Clinical)
117 E CLARK ST
HARRISBURG, IL 62946
Podiatrist (Foot & Ankle Surgery)
117 E CLARK ST
HARRISBURG, IL 62946

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Phelps's NPI number?

The NPI number for Kelly Phelps is 1700844925. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Kelly Phelps located?

Kelly Phelps practices at 117 E Clark St, Harrisburg, IL 62946. The listed phone number is (618) 252-8625.

What is Kelly Phelps's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Phelps was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.