Individual
MRS. KRISTEN RENEE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1335
(864) 512-8575
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1417
(864) 512-3719
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2094
OK
Other
Enumeration date
03/18/2012
Last updated
01/28/2013
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