Individual
DR. KEVIN JOHN WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6919 E 10TH ST, A -1, INDIANAPOLIS, IN 46219-4893
(317) 358-8885
(317) 358-8886
Mailing address
6919 E 10TH ST, A -1, INDIANAPOLIS, IN 46219-4893
(317) 358-8885
(317) 358-8886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011453A
IN
122300000X
Dentist
42017
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201033180
—
IN
Enumeration date
09/14/2006
Last updated
05/03/2012
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