| Ellen Webb MD PLLC | |
|
220 Frankfort St Suite 2 Versailles KY 40383-1079 | |
| (859) 873-0905 | |
| (859) 873-1025 |
| Full Name | Ellen Webb MD PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 220 Frankfort St, Versailles, Kentucky |
| Authorized Official Name and Position | Ellen D. Webb (OWNER/M.D.) |
| Authorized Official Contact | 8598730905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Webb MD PLLC 220 Frankfort St Suite 2 Versailles KY 40383-1079 Ph: (859) 873-0905 | Ellen Webb MD PLLC 220 Frankfort St Suite 2 Versailles KY 40383-1079 Ph: (859) 873-0905 |
| NPI Number | 1225200736 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 01/21/2009 |
| Medicare PECOS PAC ID | 0648349290 |
|---|---|
| Medicare Enrollment ID | O20080521000890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225200736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24998 (Kentucky) | Primary |
| Provider Name | Ellen D Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285610535 PECOS PAC ID: 3072506633 Enrollment ID: I20040407001469 |
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