Walsh, Kerry Marie

Walsh, Kerry Marie is an sole proprietor health care provider with primary practice located at 12110 Walden Woods Dr , Orlando FL 32826-2231. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Walsh, Kerry Marie can be contacted via phone (407) 579-1719.

Contact Information

Primary practice address
12110 Walden Woods Dr Orlando FL 32826-2231
Phone: (407) 579-1719
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT11296 Florida

Profile Details

NPI number 1164441606
LBN Legal business name Walsh, Kerry Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164441606 NPPES
Florida MEDICAID 8897336

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