Individual
MRS. KIMBERLY ANN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
62 ARNOLD DR, STAMFORD, CT 06905-1304
(203) 979-0661
Mailing address
62 ARNOLD DR, STAMFORD, CT 06905-1304
(203) 979-0661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025987
NY
Other
Enumeration date
11/18/2020
Last updated
01/28/2025
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