Healthcare Provider Details

I. General information

NPI: 1235177643
Provider Name (Legal Business Name): JON WELSH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 STATE HOSPITAL DR
OSAWATOMIE KS
66064-1813
US

IV. Provider business mailing address

6675 HOLMES RD SUITE 450
KANSAS CITY MO
64131-1150
US

V. Phone/Fax

Practice location:
  • Phone: 913-755-7000
  • Fax:
Mailing address:
  • Phone: 816-276-7600
  • Fax: 816-276-7090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number04-35754
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: