Individual
DR. KENNETH WAYNE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
943 N CHURCH ST, PSYCHIATRIC ASSOCIATES OF SPARTANBURG, SPARTANBURG, SC 29303-2712
(864) 585-2214
(864) 585-5608
Mailing address
943 N CHURCH ST, PSYCHIATRIC ASSOCIATES OF SPARTANBURG, SPARTANBURG, SC 29303-2712
(864) 585-2214
(864) 585-5608
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
06871
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068713
—
SC
Enumeration date
08/09/2006
Last updated
07/08/2007
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