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General NPI Number Information
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NPI Number | 1871885400
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Entity Type | Individual
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Provider Name | KEVIN WELKER D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 155 CALLE PORTAL
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2900
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Country | US
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Telephone | 520-335-6849
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Fax | 520-459-2191
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Provider Business Mailing Address
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Address Line | 2492 E RIVER RD
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City | TUCSON
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State | AZ
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Zip | 85718-9552
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Country | US
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Telephone | 520-722-8994
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Fax | 520-624-0117
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 5101019222
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 5101019222
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 5101007150
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 007150
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License Number State | AZ
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