Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Elizabeth Walsh, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1790456127

Kathleen Elizabeth Walsh, NURSEPRACTITIONER is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Childrens Health Care Associates Inc, a 212-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2021
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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (800) 879-2467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP023659 (PA)

Record details

NPI number1790456127
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 24, 2021
Last updated in NPPESSeptember 24, 2021
Certification dateSeptember 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Childrens Health Care Associates Inc — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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