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NPI Code Detail

MEDICARE: KEITH PHILLIP WEBB MD

MEDICARE: KEITH PHILLIP 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
1207R00000XInternal Medicine Physician37114KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12139OTHERKYCHA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003813874
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH PHILLIP WEBB MD
Provider Business Mailing Address
First Line : 501 GREAT CIRCLE RD STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37228-1330
Country : US
Telephone Number : 615-396-5822
Fax Number :
Provider Business Practice Location Address
First Line : 1559 SPARTA ST
Second Line :
City : MCMINNVILLE
State : TN
Zip : 37110-1316
Country : US
Telephone Number : 615-396-5822
Fax Number : 615-396-6751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/21/2022

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