Provider Demographics
NPI:1588098800
Name:WALSH, CLAIRE MCCASLIN (RDN)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:MCCASLIN
Last Name:WALSH
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 COLLEGE BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1932
Mailing Address - Country:US
Mailing Address - Phone:913-303-9367
Mailing Address - Fax:913-303-9367
Practice Address - Street 1:5001 COLLEGE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1932
Practice Address - Country:US
Practice Address - Phone:913-303-9367
Practice Address - Fax:913-303-9367
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-22
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014000499133V00000X
KS1825133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered