| Organization Name: | ELLEN WEBB, M.D. PLLC |
| NPI Number: | 1184880239 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS DALE WEBB (OFFICE MANAGER) |
| Mailing Address: | 220 Frankfort St Ste 2 Versailles |
| State: | KY US |
| Postal Code: | 403831079 |
| Phone Number: | 8598730905 |
| Fax Number: | 8598731025 |
| NPI Enumeration Date: | 07/29/2008 |
| NPI Last Update Date: | 07/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |