Provider Demographics
NPI:1760443378
Name:WELLS, KAREN HILL (PA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:HILL
Last Name:WELLS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:1701 WESTCHESTER DR
Mailing Address - Street 2:STE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7008
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:114 KINDERTON BLVD
Practice Address - Street 2:
Practice Address - City:ADVANCE
Practice Address - State:NC
Practice Address - Zip Code:27006-7302
Practice Address - Country:US
Practice Address - Phone:336-998-9742
Practice Address - Fax:336-998-9410
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC100164363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2799665AMedicare ID - Type Unspecified
NCR49058Medicare UPIN