Individual
MELISSA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3004 SHADY KNOLL RST, LEXINGTON, KY 40511-8952
(859) 608-7400
Mailing address
3004 SHADY KNOLL RST, LEXINGTON, KY 40511-8952
(859) 608-7400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1138232
KY
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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