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Organization
KELLER WELLS AND ASSOCIATES PC
Active
Organization
KELLER WELLS AND ASSOCIATES PC
Active
Other names
HENDERSON OBGYN
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDIS L WELLS MD (PRESIDENT)
(702) 568-6108
Entity
Organization
Contact information
Practice address
129 W LAKE MEAD PKWY STE 19, HENDERSON, NV 89015-7055
(702) 568-6108
(702) 568-8603
Mailing address
PO BOX 530124, HENDERSON, NV 89053-0124
(702) 568-6108
(702) 568-8603
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
NULL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509523
—
NV
Enumeration date
09/26/2006
Last updated
03/02/2009
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