Individual
KELLY WELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
912 S GAY ST, KNOXVILLE, TN 37902-1814
(865) 594-1800
Mailing address
912 S GAY ST, KNOXVILLE, TN 37902-1814
(865) 594-1800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5356
TN
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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