MEDICARE: MRS. KATELIN LEE WELSH PA-C

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	363A00000X	Physician Assistant	0010-14074	NC

General Provider Information

NPI Number	:	1679915383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATELIN LEE WELSH PA-C

Provider Business Mailing Address
First Line	:	711 FAIRGROVE CHURCH RD SE
Second Line	:
City	:	CONOVER
State	:	NC
Zip	:	28613-8680
Country	:	US
Telephone Number	:	828-855-3636
Fax Number	:	828-855-3638

Provider Business Practice Location Address
First Line	:	711 FAIRGROVE CHURCH RD SE
Second Line	:
City	:	CONOVER
State	:	NC
Zip	:	28613-8680
Country	:	US
Telephone Number	:	828-855-3636
Fax Number	:	828-855-3638

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

Provider Enumeration Date	:	07/23/2013
Last Update Date	:	05/20/2025

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