Provider Demographics
NPI:1073198925
Name:WELSH, VICKI LYNN (RN)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:LYNN
Last Name:WELSH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 WARRIOR DR
Mailing Address - Street 2:
Mailing Address - City:FORT RILEY
Mailing Address - State:KS
Mailing Address - Zip Code:66442-2759
Mailing Address - Country:US
Mailing Address - Phone:785-240-7220
Mailing Address - Fax:785-240-6047
Practice Address - Street 1:650 HUEBNER RD
Practice Address - Street 2:
Practice Address - City:FORT RILEY
Practice Address - State:KS
Practice Address - Zip Code:66442-4030
Practice Address - Country:US
Practice Address - Phone:785-240-7220
Practice Address - Fax:785-240-6047
Is Sole Proprietor?:No
Enumeration Date:2021-03-12
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-80682-012163WG0000X, 163WC0400X
KS13-80682012163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice