KENNETH A WELTY JR M.D. NPI 1679645881

NPI Information

  • NPI: 1679645881
  • Provider Name: KENNETH A WELTY JR, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • Address: 1520 S MAIN ST
    SUITE 200
    DAYTON, OH
    ZIP 45409
  • Phone: (937) 228-5115

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NPI Details

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
12086S0122XSurgeryPlastic and Reconstructive Surgery35044824OHIOYes

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 Other Provider Identifier Issuer
1C02797MEDICARE UPINOHIO
2WE0552341MEDICARE ID-TYPE UNSPECIFIEDOHIO
30777268MEDICAIDOHIO

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: 11/21/2025

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