Provider Demographics
NPI:1124905120
Name:WEBB, KYLEE RENEE
Entity type:Individual
Prefix:
First Name:KYLEE
Middle Name:RENEE
Last Name:WEBB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 GEIGER AVE SW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44647-7839
Mailing Address - Country:US
Mailing Address - Phone:330-312-7661
Mailing Address - Fax:
Practice Address - Street 1:520 GEIGER AVE SW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44647-7839
Practice Address - Country:US
Practice Address - Phone:330-312-7661
Practice Address - Fax:330-312-7661
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide