person
Mrs. Kellie Marie Wells, PA
Medical Physician Assistant in Lansing, Michigan
NPI 1700832987

Kellie Marie Wells is a Medical Physician Assistant based in Lansing, MI and is specialized in Medical. Kellie Marie Wells practices in Lansing, MI and has the professional credentials of PA. The NPI Number for Kellie Marie Wells is 1700832987 and holds a License No. 363AM0700X (Michigan).

The current practice location address for Kellie Marie Wells is 1200 E Michigan Ave Ste 415, Lansing, MI and can be reached out via phone at 517-484-2760 and via fax at 517-484-9370.

Location: 1200 E Michigan Ave Ste 415, Lansing, MI, 48912-1897
person
Provider Profile Details
NPI Number
1700832987
Provider Name
Kellie Marie Wells
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1200 E Michigan Ave Ste 415, Lansing, MI, 48912-1897
Phone Number
517-484-2760
Fax Number
517-484-9370
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5601004711 01 MI BCBS STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1200 E Michigan Ave Ste 415
City
State
Zip
48912-1897
Phone Number
517-484-2760
Fax Number
517-484-9370
person
Provider Business Mailing Address Details
Address
1200 E Michigan Ave Ste 415
City
State
Zip
48912-1897
Phone Number
517-484-2760
Fax Number
517-484-9370
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
363AM0700X (Michigan)
Definition
Definition to come...
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