Individual
DR. KENNETH H WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 E RIVER DR, 5TH FLOOR C/O IPMS, EAST HARTFORD, CT 06108-3288
(860) 282-0833
(860) 289-0746
Mailing address
99 E RIVER DR, #300 C/O IPMS, EAST HARTFORD, CT 06108-3288
(860) 282-4133
(860) 289-0746
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
016403
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001164037
—
CT
Enumeration date
08/19/2005
Last updated
04/24/2014
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