Kellie Brook Haworth in Memphis - Pediatric Emergency Medicine
Kellie Brook Haworth - NPI 1902006497
Kellie Brook Haworth is a Pediatric Emergency Medicine in Memphis, Tennessee. Kellie Brook Haworth practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Kellie Brook Haworth is 1902006497. The last update date is 2018-11-15.
Kellie Brook Haworth's current location address is 262 Danny Thomas Pl, Memphis, Tennessee. You can contact this provider via phone number 9015954925 and fax number 9015959005. The mailing address for Kellie Brook Haworth is 262 Danny Thomas Pl, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellie Brook Haworth |
|---|---|
| Address | 262 Danny Thomas Pl, Memphis, Tennessee |
| Phone Number | 9015954925 |
| Fax Number | 9015959005 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902006497 |
|---|---|
| Provider Enumeration Date | 2007-07-23 |
| Last Updated Date | 2018-11-15 |
Provider Mailing Address Detail
| Address | 262 Danny Thomas Pl |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381053678 |
| Phone Number | 9015954925 |
| Fax Number | 9015959005 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | 35.098813 |
|
Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 123305 | OH | -- |
Post Comment/ Review Below
What is the Kellie Brook Haworth's 1902006497?
The Kellie Brook Haworth's NPI (National Provider Identifier) Number is 1902006497. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kellie Brook Haworth's facilities are situated?
The facilities of Kellie Brook Haworth are physically located at the following address: 262 Danny Thomas Pl, Memphis, TN, 381053678.
What is Kellie Brook Haworth's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kellie Brook Haworth's specialized field of practice is Pediatric Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080P0204X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902006497 to Kellie Brook Haworth?
The Centers for Medicare & Medicaid Services originally issued the 1902006497 to Kellie Brook Haworth on 2007-07-23.
As of what date were the Kellie Brook Haworth's details last updated?
The information pertaining to the Kellie Brook Haworth, including its address, specialty, and other details, was most recently updated on 2018-11-15.