Wells, Kenneth
Wells, Kenneth is an individual health care provider with primary practice located at 286 Euclid Ave Suite 204, San Diego CA 92114-3610. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Wells, Kenneth can be contacted via phone (619) 527-0051.Contact Information
Primary practice address
286 Euclid Ave Suite 204
San Diego CA 92114-3610
Phone: (619) 527-0051
Fax: (619) 527-0056
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | E3455 | California |
Profile Details
NPI number | 1467437624 |
---|---|
LBN Legal business name | Wells, Kenneth |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 10th, 2005 |
Last updated | Nov 23rd, 2007 - about 18 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 | 1467437624 | NPPES |
California | MEDICAID | 000E34550 |
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