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

Kelly Heider-Walsh

Individual provider Specialist · NPI 1497346605

Kelly Heider-Walsh is a Specialist in Deer Park, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1014 Grand Blvd Ste 5
Deer Park, NY 11729-5782
Phone: (631) 243-1765
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1497346605
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 30, 2021
Last updated in NPPESJanuary 30, 2021
Certification dateJanuary 28, 2021

Other providers in Deer Park