Individual provider · Type 1 NPI
Kenneth Wells, D.P.M.
Primary Podiatric Medicine Podiatrist · San Diego, CA
NPI number
1467437624
Active
Practice location
286 Euclid Ave, Suite 204
San Diego, CA 92114-3610
Fax (619) 527-0056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | E3455 (CA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
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About NPI 1467437624
Kenneth Wells, D.P.M.'s National Provider Identifier is 1467437624, issued on Dec 10, 2005. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in San Diego, CA. The record was last updated on Nov 23, 2007.