MEDICARE: DR. KALEB MICHAEL WELCH DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	40700	TX

General Provider Information

NPI Number	:	1255036109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KALEB MICHAEL WELCH DDS

Provider Business Mailing Address
First Line	:	2515 E ELLIOTT ST
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308-3708
Country	:	US
Telephone Number	:	940-631-3131
Fax Number	:

Provider Business Practice Location Address
First Line	:	2515 E ELLIOTT ST
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308-3708
Country	:	US
Telephone Number	:	940-631-3131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2023
Last Update Date	:	12/02/2025

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