| NPI | 1013434927 |
|---|---|
| Former Name | KELLY ANN WALSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308267-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01327700) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2026-05-15 |