Individual
KYLE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 S 5TH ST, MOUNT VERNON, WA 98274-3942
(360) 814-7300
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD70067464
WA
207Q00000X
Family Medicine Physician
Primary
MDRE.ML.61298266
WA
Other
Enumeration date
04/23/2022
Last updated
01/29/2026
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