Individual
CARLY DENISE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
676 S FLOYD ST STE 200, LOUISVILLE, KY 40202-1840
(502) 629-2500
(502) 629-4445
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3585
KY
363AM0700X
Medical Physician Assistant
PA3585
KY
363AS0400X
Surgical Physician Assistant
PA3585
KY
Other
Enumeration date
02/15/2024
Last updated
03/17/2026
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