DR. KELLY CHUNG WALSH (NPI# 1235186503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235186503 |
| Entity Type | Individual |
| Full Name | DR. KELLY CHUNG WALSH |
| Other Name | DR. KELLY CHUNG |
| Credential | M.D. |
| Practice Address |
3601 W. 13 Mile Rd Royal Oak MI 48073-6769 |
| Practice Telephone | 2488987999 |
| Practice Fax Number | 2484232576 |
| Mailing Telephone | 2488987999 |
| Mailing Fax Number | 2484232576 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301090441 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649810136 | Kelly Alaina Walsh | Student in an Organized Health Care Education/Training Program | 289 Elm St Apt 62c, Medford, MA 02155-1068 | 2020-01-13 |
| 1518210210 | Kelly L Walsh | Speech-Language Pathologist | 4810 Ivy Ridge Dr Se, Unit 306, Smyrna, GA 30080-6660 | 2012-10-18 |
| 1902838675 | Kelly Walsh | Social Worker | 8479 S. Mason Montgomery Road, Suite 4, Mason, OH 45040-4023 | 2006-07-06 |
| 1063056802 | Kelly Walsh | Social Worker | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2019-11-05 |
| 1427692557 | Kelly Elizabeth Walsh | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2019-10-31 |
| 1225686934 | Kelly Walsh | Counselor | 115 Keating Dr, Belle Chasse, LA 70037-1629 | 2019-08-27 |
| 1790266195 | Kelly A Walsh | Occupational Therapist | 13900 Ne 3rd Ct, Miami, FL 33161-2834 | 2018-08-23 |
| 1013434927 | Kelly Ann Walsh | Nurse Practitioner | 317 E 34th St, New York, NY 10016-4974 | 2017-08-23 |
| 1790227858 | Kelly Walsh | Physical Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-11-07 |
| 1265989909 | Kelly Walsh | Registered Nurse | 24200 Chagrin Blvd, Beachwood, OH 44122 | 2016-09-09 |
| Street Address |
3601 W. 13 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790751683 | Virginia Hagood | Nurse Anesthetist, Certified Registered | 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073-6769 | 2006-02-28 |
| 1578054532 | Mohammadali Chokr | Anesthesiology | 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2018-05-25 |
| 1619259033 | Beaumont Health System | General Acute Care Hospital | 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2011-09-12 |
| 1316132749 | Cynthia K Decker | Nurse Practitioner | 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 | 2007-09-10 |
| 1245425768 | Janis Mazzola | Nurse Practitioner | 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 | 2007-09-07 |
| 1447445960 | Jenny Byron | Nurse Practitioner | 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 | 2007-09-07 |
| 1518152032 | Beverly Hydo | Nurse Practitioner | 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 | 2007-09-07 |
| 1770778292 | Kathleen Kostas | Nurse Practitioner | 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 | 2007-09-07 |
| 1053511527 | Thomas Winter | Emergency Medicine | 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 | 2007-07-23 |
| 1487854972 | Rami Abboud | Internal Medicine | 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 | 2007-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1114583523 | Justin Armstrong | Internal Medicine | 3601 W 13 Mile Rd # Mi, Royal Oak, MI 48073-6712 | 2019-05-13 |
| 1780183186 | Md Regeneration, Pllc | Internal Medicine | 333 W 7th St Ste 100, Royal Oak, MI 48067-2510 | 2018-02-12 |
| 1356862536 | Ashley Lane Richardson | Internal Medicine | 1816 Dallas Ave, Royal Oak, MI 48067-3575 | 2017-06-28 |
| 1194179911 | Narayana Rao Gandham | Internal Medicine | 3535 W 13 Mile Rd Ste 502, Royal Oak, MI 48073-6770 | 2016-04-18 |
| 1669741575 | Benjamin Mishra | Internal Medicine | 1719 Gardenia Ave Apt 305, Royal Oak, MI 48067-2137 | 2011-12-21 |
| 1295046613 | Matthew Lawrence Ott | Internal Medicine | 3123 Coolidge Hwy, Apt. #132, Royal Oak, MI 48073-6852 | 2010-06-30 |
| 1518285451 | Jamal Abu-khaled | Internal Medicine | 3535 W 13 Mile Rd Ste 247, Royal Oak, MI 48073-6770 | 2010-05-16 |
| Find all providers in ROYAL OAK | ||||
Please comment or provide details below to improve the information on DR. KELLY CHUNG WALSH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.