Individual
DR. KEVIN MICHAEL WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2580 HAYMAKER RD, SUITE 106, MONROEVILLE, PA 15146-3518
(412) 858-7766
(412) 858-7769
Mailing address
2580 HAYMAKER RD, SUITE 106, MONROEVILLE, PA 15146-3518
(412) 858-7766
(412) 858-7769
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD459550
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103302821
—
PA
01
—
14011367
CAQH
—
Enumeration date
04/15/2010
Last updated
10/06/2020
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