Individual
KELLI K WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(225) 939-4437
Mailing address
9118 BLUEBONNET CENTRE BLVD, BATON ROUGE, LA 70809-2993
(225) 368-2347
(225) 368-2280
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
A10195
LA
363AM0700X
Medical Physician Assistant
Primary
PA12104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625868
—
LA
Enumeration date
10/24/2005
Last updated
01/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us