Individual
KEITH W WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
314 ALAMANCE RD, BURLINGTON, NC 27215-5528
(336) 226-8450
(336) 229-5298
Mailing address
314 ALAMANCE RD, BURLINGTON, NC 27215
(336) 226-8450
(336) 229-5298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2640
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0835F
BLUE CROSS BLUE SHIELD
NC
01
—
254456
MAMSI
NC
01
—
29901
PARTNERS
NC
01
—
5399771
AETNA
NC
01
—
604538
UNITED HEALTHCARE
NC
05
—
890835F
—
NC
Enumeration date
08/31/2006
Last updated
07/08/2007
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