Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin David Wellbaum, MD

Individual provider Pediatrics Physician · NPI 1790049641

Dr. Kevin David Wellbaum, MD is a Pediatrics Physician in Mooresville, North Carolina. Works from 2 locations. Licensed in Georgia and North Carolina.

Licensed in
GA, NC
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

133 Welton Way Ste C
Mooresville, NC 28117-9163
Phone: (704) 664-2552
Fax: (704) 664-5382
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 656 Carpenter Ave, Mooresville, NC 28115-2538 — (704) 664-5133

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2016-01403 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence 5536 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 074135 (GA)

Record details

NPI number1790049641
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2012
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

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