Provider Demographics
NPI:1427082585
Name:WALSH, JAMES A (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:WALSH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:3512 SW FAIRLAWN RD
Mailing Address - Street 2:STE 200
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-3981
Mailing Address - Country:US
Mailing Address - Phone:785-271-7246
Mailing Address - Fax:785-271-7249
Practice Address - Street 1:3512 SW FAIRLAWN RD
Practice Address - Street 2:STE 200
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-3981
Practice Address - Country:US
Practice Address - Phone:785-271-7246
Practice Address - Fax:785-271-7249
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS01-04788111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KST26C791Medicare ID - Type Unspecified