Individual
KRYSTAL ANN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020
(402) 552-2367
Mailing address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020
(402) 552-2367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002462
IA
152W00000X
Optometrist
Primary
1342
NE
Other
Enumeration date
07/23/2009
Last updated
09/09/2021
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