Basic Information
| Provider Information | |||||||||
| NPI: | 1073614509 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WELTY-WOLF | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 TRENT DR | ||||||||
| Address2: | DUMC BOX 3518 | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277100001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196846143 | ||||||||
| FaxNumber: | 9196846002 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 TRENT DR | ||||||||
| Address2: | DUMC BOX 3518 | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277100001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196846143 | ||||||||
| FaxNumber: | 9196846002 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | 31956 | NC | X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RI0200X | 31956 | NC | X | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | 207RP1001X | 31956 | NC | X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.