Individual
KRISTEN M WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-0060
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
44601-020
WI
208600000X
Surgery Physician
Primary
MD61564114
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780642397
—
WI
05
—
2292156
—
WA
Enumeration date
05/03/2006
Last updated
11/08/2024
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