Individual
CODY WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ROSE ST # MS 477, LEXINGTON, KY 40536-7001
(859) 323-1850
Mailing address
437 ARLINGTON MEADOWS DR, FISHERVILLE, KY 40023-7749
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2592
KY
363A00000X
Physician Assistant
PENDING
—
363A00000X
Physician Assistant
TC865
KY
Other
Enumeration date
08/30/2019
Last updated
01/28/2021
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