Provider Demographics
NPI:1639813801
Name:WEBB, BRITANE N
Entity Type:Individual
Prefix:
First Name:BRITANE
Middle Name:N
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 1:408 CHELSEA WOODS DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1478
Mailing Address - Country:US
Mailing Address - Phone:859-787-4133
Mailing Address - Fax:
Practice Address - Street 1:408 CHELSEA WOODS DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1478
Practice Address - Country:US
Practice Address - Phone:859-787-4133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty