Provider Demographics
NPI:1215935879
Name:WELCH, JAMES R (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:WELCH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1902 S US HIGHWAY 59
Mailing Address - Street 2:BLDG D
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357-4948
Mailing Address - Country:US
Mailing Address - Phone:620-421-2424
Mailing Address - Fax:620-421-2425
Practice Address - Street 1:1902 S US HIGHWAY 59
Practice Address - Street 2:BLDG D
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357-4948
Practice Address - Country:US
Practice Address - Phone:620-421-2424
Practice Address - Fax:620-421-2425
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2008-05-01
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Provider Licenses
StateLicense IDTaxonomies
KS0421222207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E40640Medicare UPIN
KS220011510Medicare PIN