Jacquelyn Kelli Webb
Dermatologist Procedural Dermatology
2424 Harrodsburg Rd Suite 200
Lexington
, Kentucky 40503-2106
Jacquelyn Kelli Webb
Dermatologist Procedural Dermatology
2424 Harrodsburg Rd Suite 200
Lexington
, Kentucky 40503-2106
(859) 277-3027
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About
Features
Specialties
- Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Jacquelyn Kelli Webb
- 2424 Harrodsburg Rd Suite 200
- Lexington, KY
- Zip : 40503-2106
- Fax : (859) 277-3027
- Phone : (859) 278-9492
Second Address
- Jacquelyn Kelli Webb
- 2424 Harrodsburg Rd Suite 200
- Lexington, KY
- Zip : 40503-2106
- Fax : (859) 277-3027
- Phone : (859) 278-9492
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Is Jacquelyn Kelli Webb a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 37483 | KY |
| N | 207NS0135X | Procedural Dermatology | 37483 | KY |
National Provider Identifier
| NPI | 1194720011 |
|---|---|
| Provider Name | Jacquelyn Kelli Webb |
| First Address | Lexington, KY 40503-2106 |
| Second Address | Lexington, KY 40503-2106 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 30/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64084544 | (05) | KY |
| I10933 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.