Individual
DR. RAYMOND DOUGLAS WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1146 MONARCH ST, LEXINGTON, KY 40513-1976
(859) 685-6313
(859) 685-6314
Mailing address
1146 MONARCH ST, LEXINGTON, KY 40513-1976
(859) 685-6313
(859) 685-6314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14210
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64142102
—
KY
Enumeration date
12/19/2006
Last updated
01/03/2017
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