MEDICARE: KATHRYN E. 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
1	207V00000X	Obstetrics & Gynecology Physician	191724	NC
2	207V00000X	Obstetrics & Gynecology Physician	40741	SC

General Provider Information

NPI Number	:	1285071779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN E. WEBB MD

Provider Business Mailing Address
First Line	:	1721 EBENEZER RD STE 145
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-1119
Country	:	US
Telephone Number	:	803-328-2401
Fax Number	:	803-328-1030

Provider Business Practice Location Address
First Line	:	1721 EBENEZER RD STE 145
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-1119
Country	:	US
Telephone Number	:	803-328-2401
Fax Number	:	803-328-1030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2013
Last Update Date	:	07/21/2022

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