DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GWENDOLYN LYLES, PA-C

Active

GWENDOLYN LYLES, PA-C is a Physician Assistant healthcare provider located in KONAWA, Oklahoma. NPI 1225875107 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · KONAWA, OK

Registration Details

NPI Number
1225875107
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2024 (2.0782246446317 yrs)
Last Updated
Jan 21, 2025

Practice Information

Address
527 W 3RD ST
KONAWA, OK, 748491415
Browse OK providers · Browse ZIP 74849
Phone
5809253286
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in KONAWA, OK

Name Credential NPI
WILLIAM A MCCULLOUGH PA-C, MCMSC 1992082713
TINA MARIE WAINWRIGHT P.A-C 1730453242
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.