Organization
KENT H WEBB MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT HARRIS WEBB MD (OWNER PRESIDENT)
(405) 632-4616
Entity
Organization
Contact information
Practice address
1000 SW 44TH ST, SUITE 100, OKLAHOMA CITY, OK 73109-3630
(405) 632-4616
(405) 631-1550
Mailing address
1000 SW 44TH ST STE 200, OKLAHOMA CITY, OK 73109-3629
(405) 632-4616
(405) 631-1550
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033229240
SURGICAL HOSPITAL OF OKLAHOMA
OK
05
—
200026760A
—
OK
01
—
444668180004
BCBS
OK
Enumeration date
06/06/2006
Last updated
09/28/2012
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