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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

KATHERINE L WALSH, PA-C/MPH
425 N LEE ST
SUITE 202
JACKSONVILLE, FL32204-1127
 Phone: 904-366-3738
 Fax: 904-354-3571
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATHERINE L WALSH · (Female)

NPI # 1003015280
Status Active
Credentials PA-C/MPH
Entity Individual
Enumeration date 07/17/2007
Last updated 01/23/2012 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9104989
Hospital affiliation(s)
  • ST VINCENT'S MEDICAL CENTER - (Acute Care)
    1 SHIRCLIFF WAY
    JACKSONVILLE, FL 32204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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