Individual
DR. KELLY J WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C., CSOM, DIPBBM
Contact information
Practice address
700 E MAIN ST STE B, ST CHARLES, IL 60174-2200
(630) 614-1700
Mailing address
54B ROLLING OAKS RD, SUGAR GROVE, IL 60554-9337
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011002
IL
111NN0400X
Neurology Chiropractor
038011002
IL
111NN1001X
Nutrition Chiropractor
038011002
IL
Other
Enumeration date
12/14/2006
Last updated
01/18/2021
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