Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 35.025957 | OH |
NPI | 1063641827 |
---|---|
Provider Name | Kenneth Daniel Webster |
First Address | Gainesville, FL 32608-7901 |
Second Address | Gainesville, FL 32608-7901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2009 |
Last Update Date | 14/07/2009 |