Wellbaum, Kevin David

Wellbaum, Kevin David is an individual health care provider with primary practice located at 656 Carpenter Ave , Mooresville NC 28115-2538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wellbaum, Kevin David can be contacted via phone (704) 664-5133.

Contact Information

Primary practice address
656 Carpenter Ave Mooresville NC 28115-2538
Phone: (704) 664-5133
Fax: (704) 660-0406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5536 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 074135 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2016-01403 North Carolina

Profile Details

NPI number 1790049641
LBN Legal business name Wellbaum, Kevin David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Oct 25th, 2020 - about 6 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.

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