Provider Demographics
NPI:1770633653
Name:WELCH, DR. DANNY MELVIN (DC)
Entity type:Individual
Prefix:DR
First Name:DR. DANNY
Middle Name:MELVIN
Last Name:WELCH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 MINNESOTA AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-4455
Mailing Address - Country:US
Mailing Address - Phone:913-321-3848
Mailing Address - Fax:913-321-3434
Practice Address - Street 1:1138 MINNESOTA AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-4455
Practice Address - Country:US
Practice Address - Phone:913-321-3848
Practice Address - Fax:913-321-3434
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04264111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS23537-01-7OtherBCBS