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Individual

MRS. ANNA M WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSA

Contact information

Practice address
1760 NICHOLASVILLE RD, STE 604, LEXINGTON, KY 40503-1471
(859) 255-9059
(859) 254-3112
Mailing address
1760 NICHOLASVILLE RD, STE 604, LEXINGTON, KY 40503-1471
(859) 255-9059
(859) 254-3112

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000344089
ANTHEM BCBS
KY
01
666084
ANTHEM BCBS
KY
Enumeration date
08/31/2005
Last updated
07/19/2010
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