Individual
KIMBERLY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
519 E BROOK DR, NEWAYGO, MI 49337-8573
(231) 250-4073
Mailing address
519 E BROOK DR, NEWAYGO, MI 49337-8573
(231) 250-4073
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
4704210008
MI
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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