Individual
KEDRON WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2200 PUMP RD STE 100, RICHMOND, VA 23233-3539
(804) 741-7141
(804) 741-6082
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0110009668
VA
363A00000X
Physician Assistant
Primary
0110009668
VA
Other
Enumeration date
09/23/2022
Last updated
07/09/2026
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