Individual
KATHLEEN J WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5007359
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209002272
LICENSE
IL
01
—
273514
RN LICENSE
NC
01
—
5007359
NP LICENSE
NC
Enumeration date
12/05/2005
Last updated
12/04/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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