KELLY WALWORTH, PAC
Physician Assistant - Medical
Active
Individual
NPI: 1376526756
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 1460 (OK) |
Frequently Asked Questions
NPI 1376526756 is the National Provider Identifier for KELLY WALWORTH, PAC, a Physician Assistant - Medical provider located in Oklahoma City, OK. This NPI was enumerated on November 21, 2005.
KELLY WALWORTH, PAC practices at 13174 N MACARTHUR BLVD, Oklahoma City, OK 73142.
Quick Facts
- NPI
- 1376526756
- Type
- Individual
- Enumerated
- Nov 21, 2005
- Last Updated
- Jul 21, 2022
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