Kelly L Wimberly MD

NPI 1053330803 - Family Medicine - 207Q00000X

NPI Details
NPI 1053330803
Gender Female
Enumeration Date 07/19/2006
Last Updated 09/20/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
17101 PRESTON RD
SUITE 200
DALLAS TX, 75248-1331, US
Phone (972) 239-4441
Fax (972) 239-1597
Business Location
17101 PRESTON RD
SUITE 200
DALLAS TX, 75248-1331, US
Phone (972) 239-4441
Fax (972) 239-1597
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number J3002
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According to our database, Dr. Kelly L Wimberly MD NPI is 1053330803, taxonomy code is 207Q00000X and license number is J3002, license state is located at Texas. Kelly L Wimberly MD physically located at 17101 Preston Rd, Dallas TX, 75248-1331. NPI Number Kelly L Wimberly MD has the Individual type.

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1053330803 NPI number is provided on an as is basis without warranty of any kind. 1053330803 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly L Wimberly MD are for informational purposes only.