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Individual

KIMBERLIE D WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(816) 932-1711
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 932-1711

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0548023
KS
2084P0800X
Psychiatry Physician
Primary
2023010356
MO

Other

Enumeration date
03/22/2019
Last updated
10/13/2023
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