Kelly R Wells CRNA

NPI 1124170196 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1124170196
Gender Female
Enumeration Date 01/18/2007
Last Updated 02/03/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
5301 WRIGHTSVILLE AVE
WILMINGTON NC, 28403-6510, US
Phone (910) 452-8100
Fax
Business Location
2131 S 17TH ST
WILMINGTON NC, 28401-7407, US
Phone (910) 343-7000
Fax
Toxanomy
Taxonomy Code 367500000X
License State North Carolina
License Number 171748
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According to our database, Ms. Kelly R Wells CRNA NPI is 1124170196, taxonomy code is 367500000X and license number is 171748, license state is located at North Carolina. Kelly R Wells CRNA physically located at 5301 Wrightsville Ave, Wilmington NC, 28403-6510. NPI Number Kelly R Wells CRNA has the Individual type.

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1124170196 NPI number is provided on an as is basis without warranty of any kind. 1124170196 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly R Wells CRNA are for informational purposes only.