NPI 1114191699

Kelly Anne Walsh, DO

Practitioner Family Medicine Physician Pompton Plains, NJ

Practice location

Address: 28 Jackson Ave, Pompton Plains, NJ 07444-1479
Phone: (973) 835-2575
Fax: (973) 835-0531
Mailing address: PO Box 416457, Boston, MA 02241-6457

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 25MB07796700 (NJ)

Other Family Medicine providers in New Jersey →

Registry record

NPI: 1114191699
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2008
Record last updated: 15 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.