Organization
RAYMOND D. WELLS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND DOUGLAS WELLS M.D. (OWNER)
(606) 298-3412
Entity
Organization
Contact information
Practice address
62 ROCKCASTLE RD, INEZ, KY 41224-1088
(606) 298-3412
(606) 298-7002
Mailing address
PO BOX 1088, INEZ, KY 41224
(606) 298-3412
(606) 298-7002
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
14210
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64142102
—
KY
Enumeration date
03/04/2008
Last updated
05/06/2008
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