Individual
TIMOTHY L WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8935 STATE AVE, KANSAS CITY, KS 66112-1645
(913) 596-4100
Mailing address
9233 WARD PKWY, STE 230, KANSAS CITY, MO 64114-3366
(816) 389-6030
(816) 389-6034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54375
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100385640A
—
KS
Enumeration date
10/05/2006
Last updated
03/21/2013
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