Individual
KIMBERLY ROSE WELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(214) 237-1818
Mailing address
3418 MIDCOURT RD, STE 118, CARROLLTON, TX 75006-5073
(214) 420-8200
(214) 420-8205
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
M6950
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0018049
INSTITUTIONAL PERMIT
—
01
—
M6950
STATE LICENCE
TX
Enumeration date
06/11/2007
Last updated
12/05/2023
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