Individual
MRS. KIMBERLY ANN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1300 MERRITT DR STE 100, HENDERSON, KY 42420-2788
(270) 827-0064
(270) 826-3338
Mailing address
2000 N ELM ST, SUITE 1 B, HENDERSON, KY 42420-2385
(270) 844-8144
(270) 844-8145
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006176
KY
363LA2200X
Adult Health Nurse Practitioner
3006176
KY
363LF0000X
Family Nurse Practitioner
3006176
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100088520
—
KY
Enumeration date
09/10/2009
Last updated
11/02/2020
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