Wells, Kenneth A

Wells, Kenneth A is an individual health care provider with primary practice located at 3334 Capital Medical Blvd Ste 100, Tallahassee FL 32308-4470. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Wells, Kenneth A can be contacted via phone (850) 877-8174.

Contact Information

Primary practice address
3334 Capital Medical Blvd Ste 100 Tallahassee FL 32308-4470
Phone: (850) 877-8174
Fax: (850) 877-5636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X ORT44 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X 000066 Georgia

Profile Details

NPI number 1053314682
LBN Legal business name Wells, Kenneth A
Credentials ORT
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jun 22nd, 2011 - about 15 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 1053314682 NPPES
Georgia MEDICAID 409058070A

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