Individual
DR. KELLY ANNE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
28 JACKSON AVE, POMPTON PLAINS, NJ 07444-1479
(973) 835-2575
(973) 835-0531
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB07796700
NJ
Other
Enumeration date
04/16/2008
Last updated
10/15/2020
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