Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly L Wimberly MD PA

Organization Family Medicine Physician · NPI 1578589842

Kelly L Wimberly MD PA is a Family Medicine Physician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17101 Preston Rd Ste 200
Dallas, TX 75248-1331
Phone: (972) 239-4441
Fax: (972) 239-1597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence J3002 (TX)

Record details

NPI number1578589842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Wimberly — Owner · (972) 239-4441
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 24, 2008
Mailing address17101 Preston Rd, Suite 200, Dallas, TX 75248-1331

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