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

Kelly L Wimberly MD PA

Organization Family Medicine Physician · NPI 1578589842

Kelly L Wimberly MD PA provides Family Medicine Physician services in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17101 Preston Rd Ste 200
Dallas, TX 75248-1331 Not confirmed with CMS for 18 years — call before visiting
Phone: (972) 239-4441
Fax: (972) 239-1597
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence J3002 (TX)

Record details

NPI number1578589842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Wimberly — Owner · (972) 239-4441
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 24, 2008
Mailing address17101 Preston Rd, Suite 200, Dallas, TX 75248-1331

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