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General NPI Number Information
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NPI Number | 1497958995
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Entity Type | Individual
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Provider Name | KIMBERLY ROSE WELTER MD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 1355 RIVER BEND DR
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City | DALLAS
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State | TX
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Zip | 75247-4915
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Country | US
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Telephone | 214-237-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 3418 MIDCOURT RD STE 118
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City | CARROLLTON
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State | TX
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Zip | 75006-5073
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Country | US
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Telephone | 214-420-8200
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Fax | 214-420-8205
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | M6950
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License Number State | TX
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