Walsh, Kathleen E

Walsh, Kathleen E is an individual health care provider with primary practice located at 800 Washington St Pratt Pediatric Associates, Inc, Boston MA 02111-1552. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Walsh, Kathleen E can be contacted via phone (617) 636-5000.

Contact Information

Primary practice address
800 Washington St Pratt Pediatric Associates, Inc Boston MA 02111-1552
Phone: (617) 636-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 214248 Massachusetts

Profile Details

NPI number 1679556625
LBN Legal business name Walsh, Kathleen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Nov 16th, 2020 - about 6 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 1679556625 NPPES
Massachusetts MEDICAID 0184730

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