KELLI K WHITAKER

HOUSTON, TX
NPI1902896855
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA12104)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: LA  A10195)
Enumeration Date2005-10-24
Last Update Date2020-01-23
Business Address
KELLI K WHITAKER PA
6621 FANNIN ST
HOUSTON, TX 77030-2358
Phone number: 225-939-4437
Mailing Address
KELLI K WHITAKER PA
9118 BLUEBONNET CENTRE BLVD
BATON ROUGE, LA 70809-2993
Phone number: 225-368-2347