Wells, Kenneth W

Wells, Kenneth W is an individual health care provider with primary practice located at 116 East Ave Ste 3, Tallmadge OH 44278-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wells, Kenneth W can be contacted via phone (330) 633-7782.

Contact Information

Primary practice address
116 East Ave Ste 3 Tallmadge OH 44278-2300
Fax: (330) 633-4701
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35060515 Ohio

Profile Details

NPI number 1508844812
LBN Legal business name Wells, Kenneth W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated May 15th, 2008 - about 16 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 1508844812 NPPES
Ohio MEDICAID 0822471

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