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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679645881 NPPES
Ohio MEDICAID 0777268

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