# KELLY A WELZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699855544
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 201050150NP | OR | — |
| 363L00000X | Nurse Practitioner | AP30006275 | WA | Yes |
| 363LF0000X | Family Nurse Practitioner | 201050150NP | OR | — |
| 363LF0000X | Family Nurse Practitioner | AP30006275 | WA | — |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 03/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1407812365 | NBMC MAIN GROUP NPI | OR |
| 01 | — | 161133 | NBMC MAIN GROUP DMAP | OR |
| 01 | — | 201050150NP | OREGON LICENSE - NURSE PRACTITIONER WTH PRESCRIPTIVE PRIVLEGES-FAMILY | OR |
| 05 | — | 500625806 | — | OR |
| 01 | — | 930635514 | NBMC GROUP TAX ID | OR |
| 01 | — | R0000WFBTV | NBMC GROUP MEDICARE | OR |