Individual
KALI ASHTON KAYE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4733 NW MOTIF MANOR BLVD, LAWTON, OK 73505-4828
(580) 730-4049
Mailing address
4733 NW MOTIF MANOR BLVD, LAWTON, OK 73505-4828
(580) 730-4049
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/28/2018
Last updated
04/28/2018
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