Dr. Kevin Michael Wells, MD
Ophthalmology in Bryan, TX. Individual provider (NPI-1).
NPI number1154765733
StatusActive
Last updated in NPPESMay 6, 2021
Details
- NPI
- 1154765733
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin Michael Wells
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2013
- Certification date
- May 6, 2021
- Last updated
- May 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | R9889 | TX | Yes |
| 207WX0107X | Ophthalmology, Retina Specialist | R9889 | TX |
Practice location
2806 E 29th StBryan, TX 77802-2601
Phone 979-776-8330 · Fax 979-774-9157
Mailing address
2806 E 29th StBryan, TX 77802-2601
Phone 979-776-8330 · Fax 979-774-9157
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