Individual
PATRICIA DANIELLE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 GRAND AVENUE, NEWPORT, KY 41071-2570
(859) 212-0497
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6213
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.007248
IL
363A00000X
Physician Assistant
Primary
PA2437
KY
Other
Enumeration date
09/04/2019
Last updated
02/25/2025
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