Individual
JACQUELYN KELLI WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2424 HARRODSBURG RD, SUITE 200, LEXINGTON, KY 40503-2106
(859) 278-9492
(859) 277-3027
Mailing address
2424 HARRODSBURG RD, SUITE 200, LEXINGTON, KY 40503-2106
(859) 278-9492
(859) 277-3027
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
37483
KY
207NS0135X
Procedural Dermatology Physician
37483
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64084544
—
KY
Enumeration date
06/16/2005
Last updated
04/30/2020
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