| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KEDRON WALSH | 1508589599 | 2023-02-11 |
Kedron Walsh is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1508589599. Registration indicates Kedron Walsh is a provider of access to ob/gyn services with a specialization in Allopathic & Osteopathic Physicians, Obstetrics & Gynecology (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology, ) (Specialist Network, ) (Obstetrics & Gynecology, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Kedron Walsh PHYSICIAN ASSISTANT |
| Practice Office Address | 351 HOSPITAL RD NEWPORT BEACH, CA US |
| Practice Office Telephone | 9496425775 |
| Mailing Address | 796 WESLEYAN BAY COSTA MESA, CA 926262990 US |
| Business Telephone | 8043848418 |
| Code | Practice | License No State |
|---|---|---|
| 207V00000X PRIMARY | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology Specialist Network Obstetrics & Gynecology Allopathic & Osteopathic Physicians | 61621
CA |
| 193400000X SING | Group Code |