Provider Demographics
NPI:1184214579
Name:WEBB, KARIE BETH
Entity Type:Individual
Prefix:
First Name:KARIE
Middle Name:BETH
Last Name:WEBB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:MONTCALM
Mailing Address - State:WV
Mailing Address - Zip Code:24737-0116
Mailing Address - Country:US
Mailing Address - Phone:304-887-8642
Mailing Address - Fax:
Practice Address - Street 1:191 BEAUTY LN
Practice Address - Street 2:
Practice Address - City:ROCK
Practice Address - State:WV
Practice Address - Zip Code:24747
Practice Address - Country:US
Practice Address - Phone:304-887-8642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant