Kelli Ann Haworth, PA-C

NPI #1952067340 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1952067340
Entity Type: Individual
Name: Kelli Ann Haworth, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 10, 2021
Last Updated: Jan 7, 2022

Practice Location

Address: 8100 S WALKER AVE BLDG A
City: Oklahoma City
State: Oklahoma
ZIP Code: 73139-9475
Phone: (405) 632-4468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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