Individual provider · Type 1 NPI

Kelly J. Walworth, PAC

Medical Physician Assistant · Oklahoma City, OK

NPI number 1376526756 Active

Practice location

13174 N Macarthur Blvd
Oklahoma City, OK 73142-3017

Call (405) 721-5555 Map

Fax (405) 470-7093

Mailing address

Dept 96-0317
Oklahoma City, OK 73196-0317

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1460 (OK)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1376526756

Kelly J. Walworth, PAC's National Provider Identifier is 1376526756, issued on Nov 21, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 21, 2022.