Individual
KELLY WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1412 BRIXTON CT, EDMOND, OK 73034-3310
(572) 244-0052
(405) 896-4309
Mailing address
1412 BRIXTON CT, EDMOND, OK 73034-3310
(572) 244-0052
(405) 896-4309
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R0052197
OK
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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