Individual
MS. KELLY B WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH DPH
Contact information
Practice address
502 WEST CENTRAL AVENUE, LA FOLLETTE, TN 37766
(423) 562-3537
(423) 566-2212
Mailing address
131 GOLFERS LANE, LA FOLLETTE, TN 37766
(423) 871-1505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9428
TN
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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