Individual
KEDRON WALSH
Active
Sole proprietor
Yes
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
5531 SCOTSVIEW DR, PROVIDENCE FORGE, VA 23140-4470
(804) 384-8418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0110009668
VA
Other
Enumeration date
09/23/2022
Last updated
03/28/2025
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