Individual
COLLEEN R WALSH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9480 HIGHWAY 805, JENKINS, KY 41537-8182
(606) 832-2171
(606) 832-2943
Mailing address
PO BOX 472, JENKINS, KY 41537-0472
(606) 832-2171
(606) 832-2943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2790P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1089841
ARNP
KY
01
—
2790P
NURSE PRACTITIONER
KY
Enumeration date
05/04/2006
Last updated
07/09/2007
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