Cody Welch
Physician Assistant in Lexington, KY. Individual provider (NPI-1).
NPI number1659929859
StatusActive
Last updated in NPPESJan 28, 2021
Details
- NPI
- 1659929859
- Entity type
- Individual (NPI-1)
- Name
- Cody Welch
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2019
- Certification date
- Jan 28, 2021
- Last updated
- Jan 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA2592 | KY | Yes |
| 363A00000X | Physician Assistant | TC865 | KY | |
| 363A00000X | Physician Assistant | Pending | – |
Practice location
800 Rose St # Ms 477Lexington, KY 40536-7001
Phone 859-323-1850
Mailing address
437 Arlington Meadows DrFisherville, KY 40023-7749
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