Doctor Name: | KIM P WELSH |
NPI Number: | 1245378702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PCC |
License Number: | C-0600228 |
Business Practice Address: | 8633 Lazelle Commons Dr Lewis Center, OH - 430358836 |
Business Phone Number: | 6148935577 |
Business Fax Number: | |
Mailing Address: | 8633 Lazelle Commons Dr, LEWIS CENTER |
State: | OH |
Postal Code: | 430358836 |
Phone Number: | 6148935577 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2007 |
NPI Last Update Date: | 01/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C-0600228 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |