Individual
MR. KEVIN WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
361 HIGH ST, SOMERSWORTH, NH 03878-1407
(603) 692-4500
Mailing address
PO BOX 412503, BOSTON, MA 02241-2585
(617) 643-8315
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
064926-23
NH
363LF0000X
Family Nurse Practitioner
Primary
064926-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3107612
—
NH
Enumeration date
02/09/2017
Last updated
04/29/2025
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