Individual
BRANDY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11612 TOP WALNUT LOOP, LOUISVILLE, KY 40229
(502) 767-9777
Mailing address
11612 TOP WALNUT LOOP, LOUISVILLE, KY 40229-3467
(502) 767-9777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F07171574
KY
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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