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Page i of 2 <br />~~ I <br />Kim Walsh <br />Volunteer Application <br />Orange County Advisory Boards and Commissions <br />Name: <br />Name Called: <br />Home Address <br />Phone: (Day) <br />Phone: (Evening) <br />Fax: <br />Email: <br />Place of Employment: <br />Job Title: <br />Township of Residence: <br />Zone of Residence: <br />Sex: <br />Ms. Kim Walsh <br />3522 Bluestone Court <br />Chapel Hill NC 27514 <br />919-765-3145 <br />919-732-4607 <br />kwalsh6@earthlilnk.net <br />B.C.B.S. <br />Asst,St.Plan Medical Director <br />Eno <br />Eno Twnsp <br />Female <br />Ethnic Background: Caucasian <br />Date of Birth: 4/16/1960 <br />BoardslCommissions applied for: <br />Board of Health <br />Work Experience: <br />Volunteer Experience: <br />Education: <br />Other Commenfs: <br />Applied 6/11/03 for Board of Health. Job Title: Assistant State Health Plan Medical <br />Director, Blue Cross and Blue Shield of NC, WORK EXPERIENCE: 05/27/03-08/31/03 <br />Independent Contractor, writing local public health bioterrorism response plan Alamance <br />County Health Department Burlington, NC, 9/2002-Present Assistant State Health Plan <br />Medical Director Blue Cross and Blue Shield of North Carolina Durham, NC. 8l2002- <br />Present Faculty Member/Small Group Leader,The Practice Course Duke University <br />Medical Center Durham, NC. 3/2001-12/2001 Medical Director Durham County Health <br />Department Durham, NC, 6/1992-2/2001 Medical Director Alamance County Health <br />Department Burlington, NC 6/91-6/92 Public Health Physician Wake County Department <br />of Health Raleigh, NC. 6/91-9/91 Contract Physician Alamance County Health <br />Department Burlington, NC. 6/91-8/91 Per Diem Physician Kaiser Permanente Durham, <br />NC. VOLUNTEER EXPERIENCE: Participated in following groups as representative of <br />Alamance County Health Department: Member, Executive Cancer Committee 5/94-2/01; <br />Alamance Regional Medical Center Member, Advisory Board 5/96-1998; Alamance <br />Minority Cancer Awareness Program Member, Health Advisory Council 1/97-2/01; <br />Alamance-Burlington School System Co-chair, Alamance Child Asthma Coalition 4/99- <br />2/01, <br />EDUCATION: 1988-1991 Family Medicine Residency Training Duke-Watts Family <br />