Wells, Kenneth

Wells, Kenneth is an individual health care provider with primary practice located at 286 Euclid Ave Suite 204, San Diego CA 92114-3610. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Wells, Kenneth can be contacted via phone (619) 527-0051.

Contact Information

Primary practice address
286 Euclid Ave Suite 204 San Diego CA 92114-3610
Phone: (619) 527-0051
Fax: (619) 527-0056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X E3455 California

Profile Details

NPI number 1467437624
LBN Legal business name Wells, Kenneth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2005
Last updated Nov 23rd, 2007 - about 19 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 1467437624 NPPES
California MEDICAID 000E34550

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