Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelly L Wimberly, MD

Individual provider Family Medicine Physician · NPI 1053330803

Dr. Kelly L Wimberly, MD is a Family Practice in Dallas, Texas. Graduated from University of Texas Southwestern Medical School at Dallas in 1990, 36 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
36
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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 number1053330803
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESSeptember 20, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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