Individual
KATIE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNPC-AG
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 364-3808
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2012024277
MO
Other
Enumeration date
02/26/2020
Last updated
05/19/2020
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