Webb, Jacquelyn Kelli

Webb, Jacquelyn Kelli is an individual health care provider with primary practice located at 2424 Harrodsburg Rd Suite 200, Lexington KY 40503-2106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Webb, Jacquelyn Kelli can be contacted via phone (859) 278-9492.

Contact Information

Primary practice address
2424 Harrodsburg Rd Suite 200 Lexington KY 40503-2106
Phone: (859) 278-9492
Fax: (859) 277-3027
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 37483 Kentucky
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 37483 Kentucky

Profile Details

NPI number 1194720011
LBN Legal business name Webb, Jacquelyn Kelli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Apr 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194720011 NPPES
Kentucky MEDICAID 64084544

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