Active NPI
Kyle Wells, RRT
- Children's Hospital
- Grayson, KY
National Provider Identifier
1881919173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Hospital
- License
- 11048
- Practice address
- 124 Little River Rd
Grayson, KY 41143-6001 - Phone
- (606) 474-7939
- NPI assigned
- Mar 30, 2010
- Last updated
- Mar 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Hospital | 282NC2000X | 11048 | OH | Primary |
Addresses
Primary practice location
124 Little River Rd
Grayson, KY 41143-6001
Mailing address
124 Little River Rd
Grayson, KY 41143-6001
Phone (606) 474-7939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11048 | OH | MD | Children's Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1881919173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 LITTLE RIVER RD",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411436001",
"telephone_number": "606-474-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 LITTLE RIVER RD",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411436001",
"telephone_number": "606-474-7939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "KYLE",
"name_prefix": "Mr.",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-30",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": "OH",
"license": "11048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.