Wells, Kenneth A
Wells, Kenneth A is an individual health care provider with primary practice located at 3334 Capital Medical Blvd Ste 100, Tallahassee FL 32308-4470. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Wells, Kenneth A can be contacted via phone (850) 877-8174.Contact Information
Primary practice address
3334 Capital Medical Blvd Ste 100
Tallahassee FL 32308-4470
Phone: (850) 877-8174
Fax: (850) 877-5636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | ORT44 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | 000066 | Georgia |
Profile Details
| NPI number | 1053314682 |
|---|---|
| LBN Legal business name | Wells, Kenneth A |
| Credentials | ORT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jun 22nd, 2011 - about 14 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 | 1053314682 | NPPES |
| Georgia | MEDICAID | 409058070A |
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