Kelly L Wimberly in Dallas - Family Medicine
Kelly L Wimberly - NPI 1053330803
Kelly L Wimberly is a Family Medicine in Dallas, Texas. Kelly L Wimberly practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kelly L Wimberly is 1053330803. The last update date is 2011-09-20.
Kelly L Wimberly's current location address is 17101 Preston Rd, Dallas, Texas. You can contact this provider via phone number 9722394441 and fax number 9722391597. The mailing address for Kelly L Wimberly is 17101 Preston Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly L Wimberly |
|---|---|
| Address | 17101 Preston Rd, Dallas, Texas |
| Phone Number | 9722394441 |
| Fax Number | 9722391597 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053330803 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2011-09-20 |
Provider Mailing Address Detail
| Address | 17101 Preston Rd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752481331 |
| Phone Number | 9722394441 |
| Fax Number | 9722391597 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | J3002 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00474586 | TX | MEDICARE RR PIN | |
| DH1426 | TX | MEDICARE RR GROUP NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Kelly L Wimberly by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly L Wimberly has been assigned the NPI (National Provider Identifier) 1053330803. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Kelly L Wimberly?
The Kelly L Wimberly is situated at 17101 Preston Rd, in the city of Dallas, state of TX, with the zip code 752481331.
What is Kelly L Wimberly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly L Wimberly is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When was the Kelly L Wimberly's 1053330803 issued?
The Kelly L Wimberly's 1053330803 was issued on 2006-07-19.
When was the information pertaining to Kelly L Wimberly most recently updated or revised?
The details related to Kelly L Wimberly, including its address, specialty, and other relevant information, were last updated or revised on 2011-09-20.
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