National Provider Identifier Database

KELLIE B HAWORTH, MD – NPI #1902006497
Pediatric Hematology-Oncology

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.


Contact Information

KELLIE B HAWORTH, MD
262 DANNY THOMAS PL
MEMPHIS, TN38105-3678
Phone: 901-595-4925
Fax: 901-595-9005
Website:
Specialty Taxonomy Code
* Pediatric Hematology-Oncology 2080P0207X
Pediatric Emergency Medicine 2080P0204X
Pediatrics 208000000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for KELLIE B HAWORTH

NPI Number 1902006497
Credentials MD
Entity Individual
Enumeration date 07/23/2007
Last updated 11/15/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 35.098813
  • TN License #: 56657
  • OH Medicaid: 0123305
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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