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

KELLY J WALWORTH, PAC

Active

KELLY J WALWORTH, PAC is a Medical Physician Assistant healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1376526756 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · OKLAHOMA CITY, OK

Registration Details

NPI Number
1376526756
Provider Type
Individual
Gender
Female
NPI Issued
Nov 21, 2005 (20.688181050276 yrs)
Last Updated
Jul 21, 2022
License
1460 (OK)

Practice Information

Address
13174 N MACARTHUR BLVD
OKLAHOMA CITY, OK, 731423017
Browse OK providers · Browse ZIP 73142
Phone
4057215555
Fax
4054707093
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in OKLAHOMA CITY, OK

Name Credential NPI
RACHEL HAND PAC 1033112347
KRISTI MICHELLE PARKER P. A. 1427058809
GRETA J. WATSON P.A. 1538156336
KATHERINE J PAYNE PA-C 1710976071
MCKINLEY BOATNER PA 1508840695
STACIE L PIERCE-DUTCH P.A.-C 1164490710
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.