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This data was extracted on 9/30/2025.

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License Number: C0004094 Kevin Walsh
License Type: Physician Assistant
License Status: Active  
License Issued: 09/24/2009  License Expiration:  06/30/2027
Licensure Pathway:  Traditional   
Special License Category:  N/A
 Medical Assistance

Accept Medicaid? N/A

Maryland Hospital Privilege Information (as reported by licensee)
Carroll Hospital Center
Northwest Hospital Center
Sinai Hospital Of Baltimore
Medical Licenses Held in Other States (as reported by licensee)
Licensee has not reported Medical Licenses Held in Other States information for the profile site.
 Physician Assistant Notification of Collaboration Agreements
Agreement ID: 3267 |  Submit Date: 12/11/2024
Practice Setting: Hospital
Facility: Grace Medical Center
Address: 2000 W Baltimore St
           Baltimore, MD 21223-1558
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Agreement ID: 4126 |  Submit Date: 04/23/2025
Practice Setting: Hospital
Facility: University Of Md Capital Region Medical Center
Address: 901 North Harry S Truman Drive
           Upper Marlboro, MD 20774
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties
D0043643  Jason Atwood Tate   Status: Approved  |  Approved Date:  07/28/2010  | Agreement No: 8752
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0073512  Mark Adam Goldstein   Status: Approved  |  Approved Date:  12/16/2020  | Agreement No: 21191
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0077533  Danielle Elise Madison Warren   Status: Approved  |  Approved Date:  03/24/2023  | Agreement No: 32209
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0084560  Chava Lerman Hobbs   Status: Approved  |  Approved Date:  06/11/2024  | Agreement No: 34243
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: Yes
D0083094  Trecia Henriques   Status: Approved  |  Approved Date:  06/25/2024  | Agreement No: 34336
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: Yes
Download all Maryland Disciplinary Actions (not time-limited)
All Orders are downloaded in .pdf format.
None.
 Summary of Known Disciplinary Actions by any state medical board (within the past 10 years)   Please Read Description
In Maryland:
No Known Disciplinary Actions by the Maryland Board of Physicians have been reported.
Other States:
No Known Disciplinary Actions by any other state medical board have been reported.
 Pending Charges   Please Read Disclaimer
All Charges are downloaded in .pdf format.
None.
 Other Public Actions in the Practice of the Profession or Administrative Fines (including Maryland)   Please Read Description
No reported Other Public Actions in the Practice of the Profession or Administrative Fines (incl. Maryland) for this licensee.
 Convictions for any crime involving moral turpitude
None reported by the courts.
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