MEDICARE: DR. ELAINE WELSH JOSLYN D.O.

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	207Q00000X	Family Medicine Physician	R2F46	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11785054	OTHER	MO	BCBS OF KC
2	000015568	OTHER	MO	PTAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326129891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELAINE WELSH JOSLYN D.O.

Provider Business Mailing Address
First Line	:	4601 INDEPENDENCE AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64124-2927
Country	:	US
Telephone Number	:	816-241-6334
Fax Number	:	816-241-5830

Provider Business Practice Location Address
First Line	:	4601 INDEPENDENCE AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64124-2927
Country	:	US
Telephone Number	:	816-241-6334
Fax Number	:	816-241-5830

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

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	06/26/2008

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