Wells, Kevin

Wells, Kevin is an sole proprietor health care provider with primary practice located at 100 Metroplex Dr Ste 200 , Edison NJ 08817-2684. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Wells, Kevin can be contacted via phone (732) 235-8400.

Contact Information

Primary practice address
100 Metroplex Dr Ste 200 Edison NJ 08817-2684
Phone: (732) 235-8400
Fax: (732) 235-8395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MB10722100 New Jersey

Profile Details

NPI number 1588027965
LBN Legal business name Wells, Kevin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2016
Last updated Jul 17th, 2020 - about 4 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 1588027965 NPPES
New Jersey MEDICAID 0730564

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