Welty Jr, Kenneth A
Welty Jr, Kenneth A is an individual health care provider with primary practice located at 1520 S Main St Suite 200, Dayton OH 45409-2698. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Welty Jr, Kenneth A can be contacted via phone (937) 228-5115.Contact Information
Primary practice address
1520 S Main St Suite 200
Dayton OH 45409-2698
Phone: (937) 228-5115
Fax: (937) 228-4591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 35044824 | Ohio |
Profile Details
| NPI number | 1679645881 |
|---|---|
| LBN Legal business name | Welty Jr, Kenneth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679645881 | NPPES |
| Ohio | MEDICAID | 0777268 |
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