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Contact Information

KELLI A HAWORTH, PA-C
9600 BROADWAY EXT
OKLAHOMA CITY, OK73114-7408
 Phone: 405-230-9000
 Fax: 405-230-9433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KELLI A HAWORTH · (Female)

NPI # 1952067340
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/10/2021
Last updated 03/20/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • OK Other 4689 MEDICAL LICENSE
Hospital affiliation(s)
  • OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP - (Acute Care)
    330 SOUTHWEST 80TH STREET
    OKLAHOMA CITY, OK 73139
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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