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NPI Code Detail

MEDICARE: KENDI BURNETTE-PHELPS

MEDICARE: KENDI BURNETTE-PHELPS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramCO

General Provider Information

NPI Number : 1881534634
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDI BURNETTE-PHELPS
Provider Business Mailing Address
First Line : 2222 N NEVADA AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-6819
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2222 N NEVADA AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-6819
Country : US
Telephone Number : 719-776-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2026
Last Update Date : 03/31/2026

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Directions to “ KENDI BURNETTE-PHELPS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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