Individual
KATHY WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 257-3736
Mailing address
3032 E MOUNT MORRIS RD, MOUNT MORRIS, MI 48458-8991
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704177636
MI
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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