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NPI Code Detail

MEDICARE: DR. CHRISTINE MARY WALSH-KELLY M.D.

MEDICARE:  DR. CHRISTINE MARY WALSH-KELLY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PP0204XPediatric Emergency Medicine (Emergency Medicine) Physician2005026118MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518916030
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE MARY WALSH-KELLY M.D.
Provider Business Mailing Address
First Line : 13130 WATERTOWN PLANK RD UNIT 103
Second Line :
City : ELM GROVE
State : WI
Zip : 53122-2237
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2401 GILLHAM RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-4619
Country : US
Telephone Number : 816-234-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 10/30/2009

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Directions to “ DR. CHRISTINE MARY WALSH-KELLY M.D.” Practice Location

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