; NPI #1881919173

Contact Information

KYLE WELLS, RRT

124 LITTLE RIVER RD
GRAYSON, KY 41143-6001

Phone: 606-474-7939
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for

NPI # 1881919173

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 03/30/2010

Last updated 03/30/2010 - About 16 years ago

Identifiers

License #

11048

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Children

NPI Profile & details for

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