Kelly J Walworth in Oklahoma City - Medical
Kelly J Walworth - NPI 1376526756
Kelly J Walworth is a Medical in Oklahoma City, Oklahoma. Kelly J Walworth practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelly J Walworth is 1376526756. The last update date is 2022-07-21.
Kelly J Walworth's current location address is 13174 N Macarthur Blvd, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057215555 and fax number 4054707093. The mailing address for Kelly J Walworth is 13174 N Macarthur Blvd, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly J Walworth |
|---|---|
| Address | 13174 N Macarthur Blvd, Oklahoma City, Oklahoma |
| Phone Number | 4057215555 |
| Fax Number | 4054707093 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1376526756 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 13174 N Macarthur Blvd |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731423017 |
| Phone Number | 4057215555 |
| Fax Number | 4054707093 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1460 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1710198569 | OK | GROUP NPI | |
| 200265130A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly J Walworth by the Centers for Medicare & Medicaid Services?
The Kelly J Walworth has been assigned the NPI (National Provider Identifier) 1376526756 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Kelly J Walworth is located?
The Kelly J Walworth is situated at the following address: 13174 N Macarthur Blvd, Oklahoma City, OK, 731423017.
What is Kelly J Walworth's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly J Walworth's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376526756 to Kelly J Walworth?
The Centers for Medicare & Medicaid Services originally issued the 1376526756 to Kelly J Walworth on 2005-11-21.
When was the information regarding Kelly J Walworth, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly J Walworth, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.