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

Kevin Lewallen

Individual provider Physician Assistant · NPI 1104551977

Kevin Lewallen is a Physician Assistant in Fort Worth, Texas. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone: (817) 250-3152
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4770 Regent Blvd, Irving, TX 75063-2445 — (972) 891-3750

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104551977
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESJuly 18, 2022
Certification dateJuly 14, 2022
Mailing address4770 Regent Blvd, Irving, TX 75063-2445

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