Individual
KEITH P WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
10 MARSETT RD STE 3, SHELBURNE, VT 05482
(802) 922-9545
(802) 922-9546
Mailing address
10 MARSETT RD STE 3, SHELBURNE, VT 05482-7150
(802) 922-9545
(802) 922-9546
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000685-01
NY
231H00000X
Audiologist
145.0117582
VT
237600000X
Audiologist-Hearing Aid Fitter
14000079016
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001510201
MEDICARE PTAN
VT
Enumeration date
04/20/2007
Last updated
03/21/2025
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