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Individual

DANIELLE S. WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
740 S LIMESTONE STE 201, LEXINGTON, KY 40536-2849
(859) 218-2522
(859) 323-3918
Mailing address
3803 CHARLESTON CT, GREENVILLE, NC 27834-7667
(252) 481-1238

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
2011-00774
NC
2086S0120X
Pediatric Surgery Physician
Primary
56535
KY
2086S0120X
Pediatric Surgery Physician
ME90213
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000446729A
GA
01
163PP
BCBSNC
NC
05
270146400
FL
05
5918320
NC
Enumeration date
08/10/2006
Last updated
06/17/2025
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