Walsh, Kevin Martin
Walsh, Kevin Martin is an individual health care provider with primary practice located at 6651 Chippewa Suite 221, St Louis MO 63109-2531. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Walsh, Kevin Martin can be contacted via phone (314) 351-2588.Contact Information
Primary practice address
6651 Chippewa Suite 221
St Louis MO 63109-2531
Phone: (314) 351-2588
Fax: (314) 351-3334
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 00580 | Missouri |
Profile Details
NPI number | 1518033174 |
---|---|
LBN Legal business name | Walsh, Kevin Martin |
Credentials | DDS MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 27th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518033174 | NPPES |
Other | 2012963 | DELTA DENTAL INSURANCE |
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