Individual
KATHLEEN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
414 GLENWAY ST, MADISON, WI 53711-1749
(608) 469-6625
Mailing address
414 GLENWAY ST, MADISON, WI 53711-1749
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
40480
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
40480
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13207
DEAN HEALTH PLAN
—
01
—
30091200
HIRSP
—
05
—
30091200
—
WI
01
—
390808509
WPS
—
01
—
90002361
WEA INS
—
Enumeration date
11/20/2006
Last updated
07/09/2026
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