Individual
DR. KENNETH W WELSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
101 S LA CANADA DR STE 69, GREEN VALLEY, AZ 85614-2665
(520) 625-5657
(520) 625-5659
Mailing address
440 N ALVERNON WAY, TUCSON, AZ 85711-1958
(520) 327-6215
(520) 327-6546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AZ0282
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036782
—
AZ
Enumeration date
08/31/2006
Last updated
07/08/2007
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