Individual
KRISTOPHER M WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
476 LIBERTY RD, WEST LIBERTY, KY 41472-2049
(606) 743-3186
(606) 743-1693
Mailing address
50 HENSLEY RD, JACKSON, KY 41339-9101
(606) 272-1037
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02947
KY
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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