Welty, Katherine M
Welty, Katherine M is an individual health care provider with primary practice located at 651 W Warren Ave Ste 100 , Longwood FL 32750-4036. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Welty, Katherine M can be contacted via phone (407) 438-8840.Contact Information
Primary practice address
651 W Warren Ave Ste 100
Longwood FL 32750-4036
Phone: (407) 438-8840
Fax: (407) 438-8893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME0068336 | Florida |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | ME68336 | Florida |
Profile Details
| NPI number | 1881677516 |
|---|---|
| LBN Legal business name | Welty, Katherine M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Jun 7th, 2022 - about 4 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 | 1881677516 | NPPES |
| Florida | Other | 5174561 | AETNA |
| Florida | Other | 24506 | AETNA |
| Florida | Other | 7549512C | AETNA |
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