KENNETH LEWIS WELLS

ATHENS, GA
NPI1891722831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT000377)
Enumeration Date2006-06-26
Last Update Date2007-07-08
Business Address
-- KENNETH LEWIS WELLS ATC, LAT
1500 OGLETHORPE AVE SUITE 500B
ATHENS, GA 30606-2179
Phone number: 706-549-9924
Mailing Address
-- KENNETH LEWIS WELLS ATC, LAT
1300 DOVE CREEK CIR
WINDER, GA 30680-5039
Phone number: 770-725-9904