Wells, Keely Dylan
Wells, Keely Dylan is an sole proprietor health care provider with primary practice located at 601 Dr Martin Luther King Jr Ave Ne , Albuquerque NM 87102-3619. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Flight, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Wells, Keely Dylan can be contacted via phone (505) 727-8206.Contact Information
Primary practice address
601 Dr Martin Luther King Jr Ave Ne
Albuquerque NM 87102-3619
Phone: (505) 727-8206
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Flight | 163WF0300X | R67438 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | CNP-03497 | New Mexico |
Profile Details
| NPI number | 1497191746 |
|---|---|
| LBN Legal business name | Wells, Keely Dylan |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2013 |
| Last updated | Mar 7th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497191746 | NPPES |
| New Mexico | MEDICAID | 14884739 |
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