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DR. KELLIE BROOK HAWORTH MD
NPI 1902006497
Pediatrics - Pediatric Hematology-Oncology in Memphis, TN

Active since July 23, 2007
262 DANNY THOMAS PL, MEMPHIS, TN 38105(901) 595-4925(901) 595-9005 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2018, Apr 13, 2017 (2 updates tracked since 2017).

About Dr. Kellie Brook Haworth Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLIE BROOK HAWORTH MD (NPI 1902006497) is an individual pediatric hematology-oncology provider in Memphis, Tennessee, licensed in Tennessee (56657) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1902006497
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameDR. KELLIE BROOK HAWORTHCredential: MD
Location Address262 DANNY THOMAS PLMemphis, TN 38105-3678
Mailing Address262 Danny Thomas PlMemphis, TN 38105-3678 · (901) 595-4925 · Fax (901) 595-9005
Phone(901) 595-4925
Fax(901) 595-9005
Sole ProprietorNo
Enumeration DateJuly 23, 2007
Last NPPES UpdateNovember 15, 20182 updates tracked since enumeration
✔ NPI 1902006497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Licenses✔ Licensed in TN · 56657✔ Licensed in OH · 35.098813
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 35.098813 (OH)
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 35.098813 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
262 DANNY THOMAS PL, Memphis, TN 38105
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Other Identifiers 1

Medicaid0123305OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS JENNIFER ELAINE ROEMER CPNP-AC
Nurse Practitioner (Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
MR. ALBERTO S. PAPPO M.D.
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-6765
MS. HEATHER MARIE CONKLIN PHD
Psychologist (Clinical)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
ALYSSA COTTON
Nurse Practitioner (Family)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
ARMITA BAHRAMI MD
Pathology (Anatomic Pathology & Clinical Pathology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
DR. SEAN PHIPPS PH.D.
Psychologist (Clinical Child & Adolescent)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
WENDY BOURLAND D.O.
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL, MAILSTOP 260
MEMPHIS, TN 38105
Shelby County (901) 595-3300
JAMES MICHAEL BURGESS DNP, MBA, RN
Clinical Nurse Specialist (Oncology, Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Haworth's NPI number?

The NPI number for Kellie Haworth is 1902006497. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Kellie Haworth located?

Kellie Haworth practices at 262 Danny Thomas Pl, Memphis, TN 38105. The listed phone number is (901) 595-4925.

What is Kellie Haworth's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

When was this NPI record last updated?

The NPPES record for Kellie Haworth was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.