Individual
KRISTEN MORAN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 N COMMONWEALTH AVE STE 1, CORBIN, KY 40701
(606) 258-2160
(606) 258-2162
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131
(606) 528-8661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC726
KY
Other
Enumeration date
07/09/2018
Last updated
12/10/2020
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