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NPI Code Detail

MEDICARE: OMRI KENNETH WEBB MD

MEDICARE: OMRI KENNETH WEBB MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician12908SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00402307OTHERGAMEDICARE RAILROAD PTAN
3P01577395OTHERSCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194822510
Entity Type Code : Individual
Provider Name (Legal Business Name) : OMRI KENNETH WEBB MD
Provider Business Mailing Address
First Line : 720 S DUNCAN BYP
Second Line :
City : UNION
State : SC
Zip : 29379-7830
Country : US
Telephone Number : 864-427-4081
Fax Number :
Provider Business Practice Location Address
First Line : 801 W MAIN ST
Second Line :
City : UNION
State : SC
Zip : 29379-2717
Country : US
Telephone Number : 864-429-3029
Fax Number : 864-429-3015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 02/12/2016

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Directions to “ OMRI KENNETH WEBB MD” Practice Location

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