Individual
KATHLEEN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
5900 N BURDICK ST, EAST SYRACUSE, NY 13057-9462
(315) 656-8750
(315) 656-8493
Mailing address
5900 N BURDICK ST, EAST SYRACUSE, NY 13057-9462
(315) 656-8750
(315) 656-8493
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380978
NY
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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