Basic Information
| Provider Information | |||||||||
| NPI: | 1649247594 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WEBB | ||||||||
| FirstName: | KATHERINE | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 12622 | ||||||||
| Address2: | |||||||||
| City: | BELFAST | ||||||||
| State: | ME | ||||||||
| PostalCode: | 049154017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4434816482 | ||||||||
| FaxNumber: | 4434816515 | ||||||||
| Practice Location | |||||||||
| Address1: | 521 WASHINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | CHESTERTOWN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 216201217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4108100767 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2006 | ||||||||
| LastUpdateDate: | 12/05/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | D0067983 | MD | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 019788200 | 05 | MD | MEDICAID | 295709 | 01 | MD | KAISER | OTHER | 4965921 | 01 | MD | CIGNA | OTHER | 136260Y5Z | 01 | MD | MEDICARE HOSPITALIST | OTHER | 607156016 | 01 | MD | FEDERAL EMPLOYEES WORKER COMP (FECA) | OTHER | Y945-0001 | 01 | MD | CAREFIRST PRODUCTS | OTHER | 205594 | 01 | MD | JHHC PRODUCTS | OTHER | 9309805 | 01 | MD | AETNA HMO AND PPO | OTHER |