Individual
DR. KANE THOMAS WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(929) 297-2526
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(929) 297-2526
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101238553
VA
208D00000X
General Practice Physician
0101238553
VA
Other
Enumeration date
11/17/2006
Last updated
12/01/2017
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