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Individual

KEVIN D. WELK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 E. KINCAID STREET, MOUNT VERNON, WA 98274-4127
(360) 428-2555
(360) 428-6402
Mailing address
1400 E. KINCAID STREET, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
22416
OK
207RR0500X
Rheumatology Physician
Primary
MD00049196
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100825640B
OK
01
263667
LABOR & INDUSTRIES
WA
Enumeration date
07/13/2005
Last updated
11/03/2010
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