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

Individual provider Physician Assistant · NPI 1508589599

Kedron Walsh, PHYSICIANASSISTANT is a Physician Assistant in Richmond, Virginia. Graduated from University of South Carolina School of Medicine in 2022, 4 years ago. Practices with Commonwealth Primary Care, a 65-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Trained at
University of South Carolina School of Medicine
Licensed in
VA
In the registry since
2022
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Practice location Address checks out

2200 Pump Rd Ste 100
Richmond, VA 23233-3539
Phone: (804) 741-7141
Fax: (804) 741-6082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1250 E Marshall St, Richmond, VA 23298-5023 — (804) 828-4409
  • 1001 E Leigh St, Richmond, VA 23298-5004 — (804) 828-4409

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009668 (VA)

Record details

NPI number1508589599
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 23, 2022
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing addressPo Box 780125, Philadelphia, PA 19178-0125

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Commonwealth Primary Care — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Richmond