MEDICARE: KENT H WEBB MD PLLC

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
1	363AM0700X	Medical Physician Assistant
2	208600000X	Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1033229240	OTHER	OK	SURGICAL HOSPITAL OF OKLAHOMA
3	444668180004	OTHER	OK	BCBS

General Provider Information

NPI Number	:	1083653919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENT H WEBB MD PLLC

Provider Business Mailing Address
First Line	:	1000 SW 44TH ST STE 200
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3629
Country	:	US
Telephone Number	:	405-632-4616
Fax Number	:	405-631-1550

Provider Business Practice Location Address
First Line	:	1000 SW 44TH ST
Second Line	:	SUITE 100
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3630
Country	:	US
Telephone Number	:	405-632-4616
Fax Number	:	405-631-1550

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	DR. KENT HARRIS WEBB
Credential	:	MD
Telephone Number	:	405-632-4616

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	09/28/2012

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Directions to “KENT H WEBB MD PLLC ” Practice Location

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