18D1068563 CLIA NUMBER - ELLEN WEBB, MD

Laboratory Demographics

CLIA Number: 18D1068563

Facility Name: ELLEN WEBB, MD

Facility Address:
220 FRANKFORT STREET, SUITE 2
VERSAILLES, KY
ZIP 40383
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Facility Phone Number: 859 873-0905

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285610535

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	18D1068563
LAB Type	Physician Office
Facility Name	ELLEN WEBB, MD
Street	220 FRANKFORT STREET, SUITE 2
City	VERSAILLES
State	KY
ZIP	40383
Phone	859 873-0905
CertificateType	4
CertificateEffectiveDate	5/16/2023
CertificateExpirationDate	5/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024