Individual
MRS. KATHRYN J WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
4501 X ST, SACRAMENTO, CA 95817-2229
(916) 734-5959
Mailing address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-4899
Taxonomy
Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
Primary
344331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09492
UC DAVIS PI NUMBER
CA
Enumeration date
12/15/2005
Last updated
03/17/2015
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