Wells, Kellie Marie
Wells, Kellie Marie is an individual health care provider with primary practice located at 1200 E Michigan Ave Ste 415 , Lansing MI 48912-1897. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wells, Kellie Marie can be contacted via phone (517) 484-2760.Contact Information
Primary practice address
1200 E Michigan Ave Ste 415
Lansing MI 48912-1897
Phone: (517) 484-2760
Fax: (517) 484-9370
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 363AM0700X | Michigan |
Profile Details
NPI number | 1700832987 |
---|---|
LBN Legal business name | Wells, Kellie Marie |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 26th, 2006 |
Last updated | Jan 21st, 2013 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700832987 | NPPES |
Michigan | Other | 5601004711 | BCBS STATE LICENSE |
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