Individual
KATIE LYNN WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8100 S WALKER AVE BLDG A, OKLAHOMA CITY, OK 73139-9475
(405) 632-4468
(405) 632-0436
Mailing address
8100 S WALKER AVE BLDG A, OKLAHOMA CITY, OK 73139-9475
(405) 632-4468
(405) 632-0436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2917
OK
363AM0700X
Medical Physician Assistant
2917
OK
363AS0400X
Surgical Physician Assistant
2917
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2917
MEDICAL LICENSE
OK
Enumeration date
06/22/2018
Last updated
06/18/2019
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