Individual
DR. KENNETH F WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
111 N 2ND ST, BELLEVUE, IA 52031-1227
(563) 872-4104
(563) 872-5461
Mailing address
111 N 2ND ST, BELLEVUE, IA 52031-1227
(563) 872-4104
(563) 872-5461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4423
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045872
BASIC PIN
IA
05
—
0045872
—
IA
01
—
04587
WMK BC
IA
Enumeration date
07/20/2006
Last updated
07/08/2007
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