Individual
JONATHAN ERIC WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
651 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-5419
(859) 371-3376
(859) 331-1053
Mailing address
651 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-5419
(317) 278-6833
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
58022
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
08/24/2023
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