Individual
DAVID KEVIN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
411 N 6TH ST # 786, EMERY, SD 57332-2124
(423) 767-6130
Mailing address
411 N 6TH ST # 786, EMERY, SD 57332-2124
(423) 767-6130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R034284
SD
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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