Provider Demographics
NPI:1578961124
Name:WELLS, VERNA KAY
Entity Type:Individual
Prefix:MS
First Name:VERNA
Middle Name:KAY
Last Name:WELLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 RICHMOND RD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-1206
Mailing Address - Country:US
Mailing Address - Phone:859-625-2313
Mailing Address - Fax:
Practice Address - Street 1:2121 RICHMOND RD
Practice Address - Street 2:SUITE 216
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-1206
Practice Address - Country:US
Practice Address - Phone:859-625-2313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-15
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0843225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist