Individual
KATHLEEN ELIZABETH WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(800) 879-2467
Mailing address
121 FOXWOOD DR, MOORESTOWN, NJ 08057-4107
(609) 670-3824
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP023659
PA
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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