Wells, Kenneth Wayne

Wells, Kenneth Wayne is an individual health care provider with primary practice located at 943 N Church St Psychiatric Associates Of Spartanburg, Spartanburg SC 29303-2712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wells, Kenneth Wayne can be contacted via phone (864) 585-2214.

Contact Information

Primary practice address
943 N Church St Psychiatric Associates Of Spartanburg Spartanburg SC 29303-2712
Phone: (864) 585-2214
Fax: (864) 585-5608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 06871 South Carolina

Profile Details

NPI number 1770593618
LBN Legal business name Wells, Kenneth Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 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 1770593618 NPPES
South Carolina MEDICAID 068713

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