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Organization

KENNETH WELLS, DPM, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH WELLS D.P.M. (PODIATRIST/PRESIDENT)
(619) 527-0051
Entity
Organization

Contact information

Practice address
286 EUCLID AVE, 204, SAN DIEGO, CA 92114-3610
(619) 527-0051
(619) 527-0056
Mailing address
286 EUCLID AVE, 204, SAN DIEGO, CA 92114-3610
(619) 527-0051
(619) 527-0056

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4728380001
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E34550
CA
Enumeration date
12/18/2007
Last updated
12/18/2007
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