Individual
KATHLEEN JOY WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
610 PROVIDENCE PARK DR E STE 101, MOBILE, AL 36695-4618
(251) 378-3900
(251) 378-3901
Mailing address
PO BOX 850489, MOBILE, AL 36685-0489
(251) 342-3949
(251) 631-3361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00016720
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000093281
—
AL
01
—
0005374244
AETNA
AL
01
—
0410604
UNITED HEALTHCARE
AL
01
—
2036
HEALTHSPRING OF AL
AL
01
—
51093281
BCBS OF AL
AL
Enumeration date
07/27/2006
Last updated
06/03/2019
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