Individual
KYLE BRENDAN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 558-5281
(513) 558-5791
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5505
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01075210A
IN
207P00000X
Emergency Medicine Physician
Primary
35.122064
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2011
Last updated
06/16/2017
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