Kenneth A Wells, ORT

NPI #1053314682 in Tallahassee, Florida

Provider Information

NPI Number
1053314682
Entity Type
Individual
Name
Kenneth A Wells, ORT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Orthotist
Credential
ORT
Enumeration Date
May 27, 2005
Last Updated
Jun 22, 2011

Practice Location

Address
3334 CAPITAL MEDICAL BLVD
Address 2
STE 100
State
Florida
ZIP Code
32308-4470
Phone
(850) 877-8174

Specialties & Taxonomy Codes

Specialty
Orthotist

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