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KELLY WALLS RN
NPI 1174472658
Internal Medicine - Gastroenterology in Edmond, OK

Active since January 27, 2026
1412 BRIXTON CT, EDMOND, OK 73034(572) 244-0052(405) 896-4309 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Walls Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY WALLS RN (NPI 1174472658) is an individual gastroenterology provider in Edmond, Oklahoma, licensed in Oklahoma (R0052197) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1174472658
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameKELLY WALLSCredential: RN
Location Address1412 BRIXTON CTEdmond, OK 73034-3310
Mailing Address1412 Brixton CtEdmond, OK 73034-3310 · (572) 244-0052 · Fax (405) 896-4309
Phone(572) 244-0052
Fax(405) 896-4309
Sole ProprietorNo
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1174472658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OK · R0052197
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1412 BRIXTON CT, Edmond, OK 73034
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Walls's NPI number?

The NPI number for Kelly Walls is 1174472658. It was assigned to this individual provider in the NPPES registry on January 27, 2026.

Where is Kelly Walls located?

Kelly Walls practices at 1412 Brixton Ct, Edmond, OK 73034. The listed phone number is (572) 244-0052.

What is Kelly Walls's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Kelly Walls was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.