Wells, Kevin W

Wells, Kevin W is an individual health care provider with primary practice located at 187 W Broad St , Spartanburg SC 29306-3234. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Wells, Kevin W can be contacted via phone (864) 582-7588.

Contact Information

Primary practice address
187 W Broad St Spartanburg SC 29306-3234
Phone: (864) 582-7588
Fax: (864) 582-0431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12053115 South Carolina

Profile Details

NPI number 1891988192
LBN Legal business name Wells, Kevin W
Credentials MA, CACI
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Jan 31st, 2013 - about 11 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 1891988192 NPPES
South Carolina Other 12053115 MA, CACI
South Carolina MEDICAID 190166 MA, CACI

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