Kevin Lewallen
NPI 1104551977 · Physician Assistant · Fort Worth, TX
Kevin Lewallen is a Physician Assistant provider in Fort Worth, TX (NPI 1104551977).
Provider details
- NPI number
- 1104551977
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4770 Regent BlvdIrving, TX 75063-2445Phone: (972) 891-3750Fax: (972) 885-6494
Registry dates
- Enumerated
- 2022-07-18
- Last updated
- 2022-07-18
- Certified
- 2022-07-14
Frequently asked questions
- What is Kevin Lewallen's NPI number?
- Kevin Lewallen's National Provider Identifier (NPI) is 1104551977, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Lewallen's specialty?
- Kevin Lewallen is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kevin Lewallen located?
- Kevin Lewallen's practice location on file with NPPES is 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122.
- What is Kevin Lewallen's phone number?
- The practice phone number listed in the NPPES registry for Kevin Lewallen is (817) 250-3152.
- Is Kevin Lewallen's NPI active?
- Yes — Kevin Lewallen's NPI (1104551977) is active in the NPPES registry as of the last update on 2022-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.