Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2008-00926 | NC |
Y | 111NI0900X | Internist | 2008-00926 | NC |
N | 207RX0202X | Medical Oncology | 2008-00926 | NC |
N | 207RX0202X | Medical Oncology | D68872 | MD |
NPI | 1053536508 |
---|---|
Provider Name | Dr. Kelly E Westbrook |
First Address | Durham, NC 27710 |
Second Address | Baltimore, MD 21287-0013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 27/02/2018 |