Provider Demographics
NPI:1932281086
Name:WELCH, BELINDA (CFA, CST)
Entity Type:Individual
Prefix:MS
First Name:BELINDA
Middle Name:
Last Name:WELCH
Suffix:
Gender:F
Credentials:CFA, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 E PARRISH AVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-3222
Mailing Address - Country:US
Mailing Address - Phone:270-688-6590
Mailing Address - Fax:270-688-6593
Practice Address - Street 1:815 E PARRISH AVE
Practice Address - Street 2:SUITE 420
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-3222
Practice Address - Country:US
Practice Address - Phone:270-688-6590
Practice Address - Fax:270-688-6593
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYSA068246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY92584OtherCERTIFIED FIRST ASSISTANT
KY000000654607OtherCHS, INC. ANTHEM PIN #