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Contact Information

KENT L WELLISH, MD
2110 E FLAMINGO RD
#210
LAS VEGAS, NV89119-5190
 Phone: 702-733-2020
 Fax: 702-794-2797
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for KENT L WELLISH · (Male)

NPI Number 1952358426
Status Active
Credentials MD
Entity Individual
Enumeration date 05/28/2006
Last updated 12/17/2008 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 21433
  • CA License # G74385
  • NV License # 7032
  • NV Medicaid 002019599
  • NV Other 180023250 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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