Individual
MICHELE WELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
360 AMSDEN AVE, SUITE 301, VERSAILLES, KY 40383-1851
(859) 873-1303
(859) 879-6262
Mailing address
360 AMSDEN AVE, SUITE 301, VERSAILLES, KY 40383-1851
(859) 873-1303
(859) 879-6262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29823
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000205973
ANTHEM BCBS
KY
05
—
64298235
—
KY
01
—
P00040345
PTAN MEDICARE (RAILROAD)
KY
Enumeration date
05/11/2006
Last updated
12/10/2015
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