| Doctor Name: | CONNIE WELCH |
| NPI Number: | 1194768713 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 3 Acr Medical Troop Support Squadron Bldg 1650 Barkley Road Ft Carson, CO - 80913 |
| Business Phone Number: | 7195266699 |
| Business Fax Number: | |
| Mailing Address: | Evans Army Community Hospital Usa Meddac, 1650 Cochran Cir, Attn: Credentials Office FORT CARSON |
| State: | CO |
| Postal Code: | 809134604 |
| Phone Number: | 7195267844 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |