Healthcare Provider Details

I. General information

NPI: 1932281086
Provider Name (Legal Business Name): BELINDA WELCH CFA, CST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 06/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 E PARRISH AVE SUITE 420
OWENSBORO KY
42303-3222
US

IV. Provider business mailing address

815 E PARRISH AVE SUITE 420
OWENSBORO KY
42303-3222
US

V. Phone/Fax

Practice location:
  • Phone: 270-688-6590
  • Fax: 270-688-6593
Mailing address:
  • Phone: 270-688-6590
  • Fax: 270-688-6593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License NumberSA068
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: