Individual
DR. KATHRYN WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
223 E TILLMAN RD, FORT WAYNE, IN 46816-1079
(260) 447-2568
Mailing address
4717 OLD MILL RD, FORT WAYNE, IN 46807-2925
(260) 417-5623
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12012731A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
30.025898
OH
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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