Individual
HAILEY WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 572-3617
Mailing address
2822 PALMETTO CT, FLORENCE, KY 41042-9053
(559) 623-2492
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004341A
IN
363A00000X
Physician Assistant
Primary
PA3398
KY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
04/15/2026
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