MRS. KELLIE MARIE WELLS


Address: 1200 E Michigan Ave Ste 415, Lansing, MI 48912-1897
Phone: 5174842760

MRS. KELLIE MARIE WELLS (NPI# 1700832987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700832987
Entity Type Individual
Full Name MRS. KELLIE MARIE WELLS
Credential PA
Practice Address 1200 E Michigan Ave Ste 415
Lansing
MI 48912-1897
Practice Telephone 5174842760
Practice Fax Number 5174849370
Mailing Telephone 5174842760
Mailing Fax Number 5174849370
Enumeration Date 2006-05-26
Last Update Date 2013-01-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
363AM0700X MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS STATE LICENSE 5601004711 01

Office Location

Street Address 1200 E MICHIGAN AVE STE 415
City LANSING
State MI
Zip Code 48912-1897

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629555768 Andrew John Palmer Nurse Practitioner 1200 E Michigan Ave Ste 415, Lansing, MI 48912-1858 2018-07-22
1871987537 Jonathan Thomas Mcfarland Internal Medicine 1200 E Michigan Ave Ste 415, Lansing, MI 48912-1858 2015-03-20
1194002550 Michael W Masnyj Internal Medicine 1200 E Michigan Ave Ste 415, Lansing, MI 48912 2011-11-12
1023230448 Saniya Khan Specialist 1200 E Michigan Ave Ste 415, Lansing, MI 48912-1897 2007-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316563646 Shelley Gabel Surgery 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 2020-06-23
1568087237 Ahmed Mohamed Haggag Student in an Organized Health Care Education/Training Program 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 2020-06-09
1467074773 Craig Hargurkirat Malli Family Medicine 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 2020-05-08
1215558945 Temmy J. Brotherson Family Medicine Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 2020-05-05
1386265452 Kyle Patrick Doran Emergency Medicine Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 2020-04-30
1316418841 Andrea Mcswain Do PC Obstetrics & Gynecology 1909 E. Michigan Ave, Lansing, MI 48912 2018-12-10
1215386115 Michael Vernon Hollis Student in an Organized Health Care Education/Training Program 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 2016-06-10
1518333970 Eastside Community Action Center Social Worker 1001 Dakin Street, Suite B, Lansing, MI 48912 2015-08-19
1649667403 Cheryl Ann Wade Counselor 1712 E Michigan Ave., Lansing, MI 48912 2015-04-20
1083006134 Carol Pratt Occupational Therapist 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 2015-02-26
Find all providers in zip 48912

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144479148 Michelle Gormas Physician Assistant 2722 E Michigan Ave, Lansing, MI 48912-4037 2008-09-15
1093979270 Denise Michelle Burroughs Physician Assistant 5135 S Penn Ave, Lansing, MI 48911-4002 2008-07-16
1366580417 George Roland Over Physician Assistant 1115 S Pennsylvania Ave, Lansing, MI 48912-1669 2007-02-01
1831278092 Anne Margaret Teremi Physician Assistant 4202 Collins Rd, Suite 115, Lansing, MI 48910-5894 2006-11-06
1780648667 Walter Herbert Grumbt Physician Assistant 129 Brookwood Ct, Lansing, KS 66043-1557 2006-04-17
1841299617 J Charles Elliott Physician Assistant 416 S Creyts Rd, Lansing, MI 48917-8290 2005-07-14
1013568500 Elizabeth K Holsclaw Physician Assistant 1215 E Michigan Ave, Lansing, MI 48912-1811 2019-09-25
1194288720 Adriana Maria Ledesma Physician Assistant 505 N Clippert St, Lansing, MI 48912-4701 2019-04-10
1043745730 Degara App Hm, Pllc Physician Assistant 401 W Greenlawn Ave, Lansing, MI 48910-2819 2017-05-01
1770018269 Kaitlyn Haley Kimmel Physician Assistant 505 N Clippert St, Lansing, MI 48912-4701 2017-04-22
Find all providers in LANSING

Competitor

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City LANSING
Zip Code 48912

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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