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General NPI Number Information
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NPI Number | 1376412296
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Entity Type | Individual
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Provider Name | KELLEY MCWILLIAMS PT, DPT, NCS
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Gender | Female
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1333 CORPORATE DR STE 245
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City | IRVING
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State | TX
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Zip | 75038-7514
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Country | US
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Telephone | 972-573-3340
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Fax |
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Provider Business Mailing Address
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Address Line | 330 SPYGLASS DR
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City | WILLOW PARK
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State | TX
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Zip | 76008-3150
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 1203180
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License Number State | TX
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