Provider Demographics
NPI:1851459994
Name:WELSH, KATHLEEN MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:MARIE
Last Name:WELSH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2299 POST ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115
Mailing Address - Country:US
Mailing Address - Phone:415-292-6350
Mailing Address - Fax:415-440-6356
Practice Address - Street 1:2299 POST ST
Practice Address - Street 2:SUITE 312
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:415-292-6350
Practice Address - Fax:415-440-6356
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2016-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA659902207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A53536Medicare UPIN
CA00G59902Medicare ID - Type Unspecified