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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518033174 NPPES
Other 2012963 DELTA DENTAL INSURANCE

Popular Providers