DR. KYLE FRANCIS WALSH (NPI# 1487796413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487796413 |
| Entity Type | Individual |
| Full Name | DR. KYLE FRANCIS WALSH |
| Credential | PHD |
| Practice Address |
504 Lakeside Drive Southampton PA 18966 |
| Practice Telephone | 2153540777 |
| Practice Fax Number | 2153540772 |
| Mailing Telephone | 2153540777 |
| Mailing Fax Number | 2153540772 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC000060 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801304852 | Kyle Nolan Walsh | Chiropractor | 33 Avon St S Apt 6, Saint Paul, MN 55105-3186 | 2018-01-11 |
| 1720400096 | Kyle Walsh | Registered Nurse | 2950 International Blvd, Oakland, CA 94601-2228 | 2014-01-06 |
| 1215358197 | Kyle Walsh | Acupuncturist | 639 W Diversey Pkwy, 212, Chicago, IL 60614-1501 | 2013-12-19 |
| 1336439678 | Kyle Brendan Walsh | Emergency Medicine | 234 Goodman St, Cincinnati, OH 45219-2364 | 2011-04-07 |
| Street Address |
504 LAKESIDE DRIVE |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255466371 | William J. Massinger Iv | Social Worker | 504 Lakeside Drive, Southampton, PA 18966 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548783186 | Gina Girono | Counselor | 928 Jaymor Rd Ste B150, Southampton, PA 18966-3853 | 2017-07-25 |
| 1174088520 | Grace Therapeutic Services LLC | Counselor | 1111 Street Rd Ste 101, Southampton, PA 18966-4250 | 2019-02-08 |
| 1669983193 | Alina Tsirelson | Counselor | 201 Lakeside Park, Southampton, PA 18966-4049 | 2017-10-24 |
| 1942723960 | Regan Lee-kin | Counselor | 928 Jaymor Rd Ste B-150, Southampton, PA 18966-3853 | 2017-07-21 |
| 1710364567 | Victoria Schultheis | Counselor | 928 Jaymor Rd, Southampton, PA 18966-3826 | 2015-04-30 |
| 1538506449 | Brent Phillip Brendle | Counselor | 63 Main St, Southampton, NJ 08088-8869 | 2013-05-31 |
| 1992047542 | Cristina Lyn Smolenak | Counselor | 504 Lakeside Park, Southampton, PA 18966-4078 | 2013-03-21 |
| 1477829844 | Growth Opportunity Center | Counselor | 928 Jaymor Rd, B150, Southampton, PA 18966 | 2012-03-29 |
| 1629355128 | Michael Lee Zanders | Counselor | 1030 Second Street Pike, Southampton, PA 18966-3955 | 2011-11-11 |
| 1104141696 | Emotional Harmony, LLC | Counselor | 501 Street Rd, Floor 2, Southampton, PA 18966-3796 | 2010-03-29 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
Please comment or provide details below to improve the information on DR. KYLE FRANCIS 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.