Individual
MR. JAMES KEVIN WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 377-8431
Mailing address
9535 SPRUCE DR, OLIVE BRANCH, MS 38654-8980
(808) 778-5728
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
699597
TX
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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