Individual
KAITLYN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6940 WINTON BLOUNT BLVD, MONTGOMERY, AL 36117-3556
(334) 279-9211
Mailing address
439 MOUNTAIN RIDGE RD, MILLBROOK, AL 36054-2138
(334) 315-5226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-151070
AL
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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