Basic Information
| Provider Information | |||||||||
| NPI: | 1780891358 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WEBB | ||||||||
| FirstName: | ANGELA | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | KORRECT | ||||||||
| OtherFirstName: | ANGELA | ||||||||
| OtherMiddleName: | RENAE | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 830 S LIMESTONE | ||||||||
| Address2: | INTERNAL MEDICINE CLINIC - 3RD FLOOR | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405360001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593230303 | ||||||||
| FaxNumber: | 8593231200 | ||||||||
| Practice Location | |||||||||
| Address1: | 830 S LIMESTONE | ||||||||
| Address2: | INTERNAL MEDICINE CLINIC - 3RD FLOOR | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405360001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593230303 | ||||||||
| FaxNumber: | 8593231200 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2007 | ||||||||
| LastUpdateDate: | 08/21/2013 | ||||||||
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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 | 207R00000X | 40830 | KY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.