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1376526756
KELLY J WALWORTH
OKLAHOMA CITY, OK
NPI
1376526756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 1460)
Enumeration Date
2005-11-21
Last Update Date
2022-07-21
Business Address
-- KELLY J WALWORTH PAC
13174 N MACARTHUR BLVD
OKLAHOMA CITY, OK 73142-3017
Phone number: 405-721-5555
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Mailing Address
-- KELLY J WALWORTH PAC
DEPT 96-0317
OKLAHOMA CITY, OK 73196-0317
Phone number: 405-521-1969
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