Individual
KYLE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 858-3460
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 858-3460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94-09528
KS
Other
Enumeration date
06/11/2018
Last updated
01/21/2021
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