IndividualActive
Kelly Walls, RN
NPI 1174472658 · Gastroenterology Physician · Edmond, OK
Provider details
- NPI number
- 1174472658
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- R0052197 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1412 Brixton Ct
Edmond, OK 73034-3310
Phone: (572) 244-0052
Fax: (405) 896-4309
Approximate (ZIP-level) locationGet directions
Mailing address
1412 Brixton Ct
Edmond, OK 73034-3310
Registry dates
- Enumerated
- 2026-01-27
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.