KENNETH A WELTY JR M.D. NPI 1679645881

NPI Information

NPI: 1679645881
Provider Name: KENNETH A WELTY JR, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
1520 S MAIN ST
SUITE 200
DAYTON, OH
ZIP 45409
Phone: (937) 228-5115
Get Directions

Kenneth A Welty Jr, M.D. is a plastic and reconstructive surgery surgery in Dayton, OH. The provider is a surgeon who specializes in plastic and reconstructive surgery. Kenneth A Welty Jr, M.D. NPI is 1679645881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1520 S MAIN ST
SUITE 200
DAYTON, OH
ZIP 45409-698
Phone: (937) 228-5115
Fax: (937) 228-4591

The enumeration date for this NPI number is 11/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	35044824	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C02797	MEDICARE UPIN	OHIO
2	WE0552341	MEDICARE ID-TYPE UNSPECIFIED	OHIO
3	0777268	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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