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Individual

KEITH PHILLIP WEBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1559 SPARTA ST, MCMINNVILLE, TN 37110-1316
(615) 396-5822
(615) 396-6751
Mailing address
501 GREAT CIRCLE RD STE 200, NASHVILLE, TN 37228-1330
(615) 396-5822

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37114
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2139
CHA
KY
05
64045875
KY
Enumeration date
07/07/2005
Last updated
07/21/2022
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