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Mr. Kenji Jermaine Wells
Driver in Southaven, Mississippi
NPI 1295419406

Kenji Jermaine Wells is a Driver based in Southaven, MS. Kenji Jermaine Wells practices in Southaven, MS. The NPI Number for Kenji Jermaine Wells is 1295419406 and holds a License No. 082851399 (Mississippi).

The current practice location address for Kenji Jermaine Wells is 8331 Blue Ridge Dr, Southaven, MS and can be reached out via phone at 901-857-5961. You can also correspond with Kenji Jermaine Wells through the mailing address at 8331 BLUE RIDGE DR, SOUTHAVEN, MS - 38672-6589 (mailing address contact number: 901-857-5961).

Location: 8331 Blue Ridge Dr, Southaven, MS, 38672-6589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295419406
Provider Name
Kenji Jermaine Wells
Credential
Provider Entity Type
Individual
Gender
Male
Address
8331 Blue Ridge Dr, Southaven, MS, 38672-6589
Phone Number
901-857-5961
Fax Number
Provider Enumeration Date
06/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8331 Blue Ridge Dr
City
Southaven
State
Mississippi
Zip
38672-6589
Phone Number
901-857-5961
Fax Number
person
Provider Business Mailing Address Details
Address
8331 Blue Ridge Dr
City
Southaven
State
Mississippi
Zip
38672-6589
Phone Number
901-857-5961
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
082851399 (Tennessee)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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