DR. Kelly K. Haithcock, M.D.

NPI #1275582884 in Ft Worth, Texas

Provider Information

NPI Number: 1275582884
Entity Type: Individual
Name: DR. Kelly K. Haithcock, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: May 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6551 HARRIS PKWY
Address 2: SUITE 200
City: Ft Worth
State: Texas
ZIP Code: 76132-6103
Phone: (817) 423-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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