MR. KEVIN WALSH (NPI# 1184611733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184611733 |
| Entity Type | Individual |
| Full Name | MR. KEVIN WALSH |
| Credential | PA |
| Practice Address |
927 Trettel Ln Cloquet MN 55720-1345 |
| Mailing Address |
2714 E 2nd St Duluth MN 55812-1919 |
| Practice Telephone | 2188791227 |
| Practice Fax Number | 2188782136 |
| Mailing Telephone | 2187280313 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2013-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9193 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 246903100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356419345 | Kevin Michael Walsh | Social Worker | 41-51 East 11th Street, 4th Floor, New York, NY 10003 | 2006-11-30 |
| 1346336302 | Kevin Patrick Walsh | Counselor | 2414 Park Ave, Minneapolis, MN 55404-3713 | 2006-10-05 |
| 1649214438 | Kevin Walsh | Physician Assistant | Saint Barnabas Medical Center, Old Short Hills Road, Livingston, NJ 07039 | 2006-06-15 |
| 1922561075 | Kevin Cunningham Walsh | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2019-04-06 |
| 1679035414 | Kevin Patrick Walsh | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-04-02 |
| 1326508656 | Kevin William Walsh | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2019-03-22 |
| 1750773339 | Kevin Walsh | Registered Nurse | 625 W Washington Ave, Madison, WI 53703-2637 | 2015-02-19 |
| 1285058883 | Kevin Walsh | Pharmacist | 901 S State Rd, Davison, MI 48423-1721 | 2014-02-18 |
| 1982042073 | Kevin Michael Walsh | Nurse Practitioner | 11100 Euclid Ave, Lt 9001, Cleveland, OH 44106-1716 | 2013-06-11 |
| 1508200429 | Kevin Martin Walsh | Pediatrics | 747 52nd St, Room 245, Oakland, CA 94609-1809 | 2013-04-22 |
| Street Address |
927 TRETTEL LN |
| City | CLOQUET |
| State | MN |
| Zip Code | 55720-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427044239 | Janette Mary Setterquist | Registered Nurse | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2005-09-27 |
| 1568070498 | York Marlowe | Counselor | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2020-07-16 |
| 1972149623 | Abigail Nancy Anderson | Physician Assistant | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2019-11-18 |
| 1245897438 | Sophia Stangl | Dentist | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2019-05-22 |
| 1386201572 | Shelia Marie Miller | Social Worker | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2019-05-22 |
| 1598246142 | Leann Mae Butler | Nurse Practitioner | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2018-08-22 |
| 1093200826 | Robert Alexander Johnson | Dentist | 927 Trettel Ln, Cloquet, MN 55720 | 2018-06-25 |
| 1780173534 | Ariane Marene Norrgard | Social Worker | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2018-05-08 |
| 1811405368 | Barbara Ann Heikkila | Dietitian, Registered | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2018-01-18 |
| 1659886026 | Katherine Gokee | Health Educator | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2017-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786652 | Awakening Growth, LLC | Social Worker | 116 Ave C, Cloquet, MN 55720 | 2017-05-08 |
| 1396129706 | Kara Danielle Ebert | Marriage & Family Therapist | 913 Stanley Ave, Cloquet, MN 55720 | 2015-07-15 |
| 1639577729 | Fcsl Cloquet, LLC | Assisted Living Facility | 130 W North Road, Cloquet, MN 55720 | 2014-12-05 |
| 1699173765 | Fcsl Cloquet, LLC | Assisted Living Facility | 132 W North Road, Cloquet, MN 55720 | 2014-12-05 |
| 1134426778 | Fond Du Lac Reservation Business Committee | Assisted Living Facility | 1571 Airport Road, Fond Du Lac Assisted Living, Cloquet, MN 55720 | 2011-02-17 |
| 1417124553 | Kara Lynn Fausch | Family Medicine | 512 Skyline Boulevard, Cloquet, MN 55720 | 2008-05-08 |
| 1013199769 | Carlton Co Public Health & Human Services | Public Health or Welfare | 30 N 10th Street, Cloquet, MN 55720 | 2007-12-04 |
| 1881808616 | Stephen David Parkhurst | Chiropractor | 903 Cloquet Avenue, Cloquet, MN 55720 | 2007-05-10 |
| 1093929861 | Northland Afc,inc | Day Training, Developmentally Disabled Services | 1576 White Pine Trail, Cloquet, MN 55720 | 2007-05-10 |
| 1235341231 | Northland Afc,inc | Day Training, Developmentally Disabled Services | 6580 W Arrowhead Rd., Cloquet, MN 55720 | 2007-05-04 |
| Find all providers in zip 55720 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881143022 | Lisa Leedham | Physician Assistant | 512 Skyline Blvd, Cloquet, MN 55720-3787 | 2016-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
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| 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.