Kelly L Wimberly (NPI# 1053330803, PAC ID# 2668467770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1053330803 |
PAC ID by PECOS | 2668467770 |
Professional Enrollment ID | I20041018000439 |
Full Name | Kelly L Wimberly |
Address |
17101 Preston Rd Suite 200 Dallas TX 75248-1374 |
Gender | F |
Credential | MD |
Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
Graduation Year | 1990 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450890 | BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO |
450537 | METHODIST RICHARDSON MEDICAL CENTER |
450651 | MEDICAL CITY PLANO |
450462 | TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS |
Address | Phone | Organization |
---|---|---|
17101 Preston Rd, Suite 200, Dallas, TX 75248-1374 |
Street Address |
17101 PRESTON RD SUITE 200 |
City | DALLAS |
State | TX |
Zip | 75248-1374 |
Name | Specialty | Organization | Address |
---|---|---|---|
Annika S Illum | Cardiovascular Disease (cardiology) | 17101 Preston Rd, Suite 260s, Dallas, TX 75248-1331 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charles Wallace | Plastic and Reconstructive Surgery | 17110 Dallas N Pkwy, Suite 100, Dallas, TX 75248-1127 | |
Traci Rosvall | Psychologist, Clinical | Fulbright and Associates PC | 17000 Preston Rd, Suite 350, Dallas, TX 75248-1240 |
Richard L Fulbright | Psychologist, Clinical | Fulbright and Associates PC | 17000 Preston Rd, Suite 350, Dallas, TX 75248-1240 |
Randall L Hays | Family Medicine | Neuropathy Pain Clinic of Fort Worth LLC | 6210 Campbell Rd, Suite 100, Dallas, TX 75248-1371 |
Toby P Daniel | Physical Therapy | Reza Nabavi Pt PC | 7120 Campbell Rd, Suite 105, Dallas, TX 75248-1567 |
Nisha Patel | Optometry | 16731 Coit Rd, Dallas, TX 75248-1750 | |
Ling Zhang | Physical Medicine and Rehabilitation | 16970 Dallas Pkwy, Suite 800, Dallas, TX 75248-1928 | |
Toula P Tomescu | Clinical Social Worker | 17000 Dallas Pkwy, Suite 219, Dallas, TX 75248-1943 | |
Paul C Bierig | Anesthesiology | 16800 Dallas Pkwy, Suite 190, Dallas, TX 75248-1957 | |
Jehangir Gowani | Family Medicine | 17080 Dallas Pkwy, Dallas, TX 75248-1968 | |
Find all physicians in zip 75248 |
City | DALLAS |
Zip Code | 75248 |
Specialty | FAMILY MEDICINE |
City + Specialty | DALLAS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kelly L Wimberly.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.