Wells, Kellie Marie

Wells, Kellie Marie is an individual health care provider with primary practice located at 1200 E Michigan Ave Ste 415 , Lansing MI 48912-1897. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wells, Kellie Marie can be contacted via phone (517) 484-2760.

Contact Information

Primary practice address
1200 E Michigan Ave Ste 415 Lansing MI 48912-1897
Phone: (517) 484-2760
Fax: (517) 484-9370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 363AM0700X Michigan

Profile Details

NPI number 1700832987
LBN Legal business name Wells, Kellie Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jan 21st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700832987 NPPES
Michigan Other 5601004711 BCBS STATE LICENSE

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