person
Kelli K Whitaker, PA
Medical Physician Assistant in Houston, Texas
NPI 1902896855

Kelli K Whitaker is a Medical Physician Assistant based in Baton Rouge, TX and is specialized in Medical. Kelli K Whitaker practices in Houston, TX and has the professional credentials of PA. The NPI Number for Kelli K Whitaker is 1902896855 and holds a License No. A10195 (Texas).

The current practice location address for Kelli K Whitaker is 6621 Fannin St, Houston, TX and can be reached out via phone at 225-939-4437.

Location: 6621 Fannin St, Houston, TX, 70809-2993
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Provider Profile Details
NPI Number
1902896855
Provider Name
Kelli K Whitaker
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
6621 Fannin St, Houston, TX, 70809-2993
Phone Number
225-939-4437
Fax Number
Provider Enumeration Date
10/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1625868 05 LA
institution
Provider Business Practice Location Address Details
Address
6621 Fannin St
City
State
Zip
77030-2358
Phone Number
225-939-4437
Fax Number
person
Provider Business Mailing Address Details
Address
6621 Fannin St
City
State
Zip
77030-2358
Phone Number
225-939-4437
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
A10195 (Louisiana)
Definition
Definition to come...
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