Individual
GERAME TATE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1724 KENTON ST, SUITE 2B, HOPKINSVILLE, KY 42240-1981
(270) 632-4555
(270) 632-4556
Mailing address
1724 KENTON ST, SUITE 2B, HOPKINSVILLE, KY 42240-1981
(270) 632-4555
(270) 632-4556
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40461
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000513785
ANTHEM
KY
05
—
7100003070
—
KY
Enumeration date
02/20/2007
Last updated
10/14/2015
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