Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 31956 | NC |
N | 207RI0200X | Infectious Disease | 31956 | NC |
N | 207RP1001X | Pulmonary Disease | 31956 | NC |
NPI | 1073614509 |
---|---|
Provider Name | Karen E Welty-Wolf |
First Address | Durham, NC 27710-0001 |
Second Address | Durham, NC 27710-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 08/07/2007 |