Kelli K Whitaker, PA

NPI #1902896855 in Houston, Texas

Provider Information

NPI Number
1902896855
Entity Type
Individual
Name
Kelli K Whitaker, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Oct 24, 2005
Last Updated
Jan 23, 2020

Practice Location

Address
6621 FANNIN ST
State
Texas
ZIP Code
77030-2358
Phone
(225) 939-4437

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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