KENNETH A WELLS

TALLAHASSEE, FL
NPI1053314682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
(Licence: FL  ORT44)
Additional Taxonomies222Z00000X 
(Licence: GA  000066)
Enumeration Date2005-05-27
Last Update Date2011-06-22
Business Address
-- KENNETH A WELLS ORT
3334 CAPITAL MEDICAL BLVD STE 100
TALLAHASSEE, FL 32308-4470
Phone number: 850-877-8174
Mailing Address
-- KENNETH A WELLS ORT
3334 CAPITAL MEDICAL BLVD STE 400
TALLAHASSEE, FL 32308-8405
Phone number: 850-877-8174
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