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Individual
MRS. KYUNGYEE WELLS
Active
Individual
MRS. KYUNGYEE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45741
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9727094
—
MA
01
—
9904641
MEDICAID
NH
Enumeration date
10/13/2006
Last updated
07/08/2007
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