Wells, Kelli Tice

Wells, Kelli Tice is an individual health care provider with primary practice located at 1295 W Fairfield Dr , Pensacola FL 32501-1107. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Wells, Kelli Tice can be contacted via phone (850) 595-6500.

Contact Information

Primary practice address
1295 W Fairfield Dr Pensacola FL 32501-1107
Phone: (850) 595-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME82944 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME82944 Florida

Profile Details

NPI number 1972593820
LBN Legal business name Wells, Kelli Tice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Dec 12th, 2012 - about 12 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 1972593820 NPPES
Alabama MEDICAID 009978895
Alabama Other 59176263
Alabama MEDICAID 262522900
Alabama Other 06241
Alabama Other P00195990
Alabama Other 7804499

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