Individual
DR. BRIAN F WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W GRUNDY AVE, SPRINGFIELD, KY 40069-1411
(859) 336-1247
(866) 408-2390
Mailing address
101 W GRUNDY AVE, SPRINGFIELD, KY 40069-1411
(859) 336-1247
(866) 408-2390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21969
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5003476
PASSPORT PERSONAL
KY
05
—
64219694
—
KY
Enumeration date
12/18/2006
Last updated
12/02/2013
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