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NPI 1326740788

NPI 1326740788 : KELLY WEBB DPT : HUEYTOWN, AL

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General NPI Number Information
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    NPI Number           |    1326740788
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    Entity Type          |    Individual 
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    Provider Name        |    KELLY WEBB DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/20/2023
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    Last Update Date     |    07/11/2024
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Provider Practice Location Address
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    Address Line         |    2801 ALLISON BONNETT MEMORIAL DR 
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    City                 |    HUEYTOWN
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    State                |    AL
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    Zip                  |    35023-1859
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    Country              |    US
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    Telephone            |    205-545-9905
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    Fax                  |    205-725-6769
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Provider Business Mailing Address
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    Address Line         |    1420 10TH ST S APT 218 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35205-4590
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    Country              |    US
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    Telephone            |    251-284-2148
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    10207
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    License Number State |    AL
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