Kelly Wells

NPI #1992108021 in Moscow, Ohio

Provider Information

NPI Number: 1992108021
Entity Type: Individual
Name: Kelly Wells
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Oct 3, 2014
Last Updated: Oct 3, 2014

Practice Location

Address: 211 2ND ST
City: Moscow
State: Ohio
ZIP Code: 45153-0066
Phone: (513) 274-3040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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