Individual provider · Type 1 NPI
Kelli K. Whitaker, PA
Medical Physician Assistant · Houston, TX
NPI number
1902896855
Active
Practice location
6621 Fannin St
Houston, TX 77030-2358
Mailing address
9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809-2993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | A10195 (LA) |
| Medical Physician Assistant Primary | 363AM0700X | PA12104 (TX) |
Medical Physician Assistant: Definition to come...
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- Jessica K. Williams, PA-CMedical Physician Assistant Houston, TX NPI 1023369428
About NPI 1902896855
Kelli K. Whitaker, PA's National Provider Identifier is 1902896855, issued on Oct 24, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Houston, TX. The record was last updated on Jan 23, 2020.