Individual
MRS. CALLIE M WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
214 MAIN ST, CADIZ, KY 42211-9153
(270) 522-0898
(270) 522-6647
Mailing address
PO BOX 1724, CADIZ, KY 42211-1724
(270) 522-0898
(270) 522-6647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005147
KY
363LF0000X
Family Nurse Practitioner
5147P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100018290
—
KY
Enumeration date
11/03/2006
Last updated
11/02/2015
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