KELLY J WALWORTH

OKLAHOMA CITY, OK
NPI1376526756
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OK  1460)
Enumeration Date2005-11-21
Last Update Date2022-07-21
Business Address
-- KELLY J WALWORTH PAC
13174 N MACARTHUR BLVD
OKLAHOMA CITY, OK 73142-3017
Phone number: 405-721-5555
Mailing Address
-- KELLY J WALWORTH PAC
DEPT 96-0317
OKLAHOMA CITY, OK 73196-0317
Phone number: 405-521-1969
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