MEDICARE: DR. KATHERINE ELIZABETH WELCH M.D.

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	208000000X	Pediatrics Physician	4301085397	MI
2	208000000X	Pediatrics Physician	01052943A	IN

General Provider Information

NPI Number	:	1689939191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE ELIZABETH WELCH M.D.

Provider Business Mailing Address
First Line	:	755 W CARMEL DR STE 203
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46032-5875
Country	:	US
Telephone Number	:	317-660-9966
Fax Number	:

Provider Business Practice Location Address
First Line	:	755 W CARMEL DR STE 203
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46032-5875
Country	:	US
Telephone Number	:	317-660-9966
Fax Number	:

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

Provider Enumeration Date	:	07/10/2012
Last Update Date	:	05/14/2024

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