Individual
KAITLIN MARIE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
713 S FAYETTEVILLE ST, ASHEBORO, NC 27203-6667
(336) 625-2467
(336) 625-2256
Mailing address
218 FOUST ST STE C, ASHEBORO, NC 27203-5476
(336) 625-2333
(336) 625-5511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
024357
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851934491
—
NC
Enumeration date
10/28/2019
Last updated
10/18/2021
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