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

Kelly J Walworth, PAC

Individual provider Medical Physician Assistant · NPI 1376526756

Kelly J Walworth, PAC is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2002, 24 years ago. Practices with Mark a Dawkins, MD, PC, a 4-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
24
Licensed in
OK
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

13174 N Macarthur Blvd
Oklahoma City, OK 73142-3017
Phone: (405) 721-5555
Fax: (405) 470-7093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1460 (OK)

Record details

NPI number1376526756
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 21, 2005
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mark A Dawkins, Md, Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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