Individual
KACY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 E HARRY ST, WICHITA, KS 67218-3826
(316) 686-9200
(316) 651-2787
Mailing address
5500 E HARRY ST, WICHITA, KS 67218-3826
(316) 686-9200
(316) 651-2787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16183
KS
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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