Provider Demographics
NPI:1053536508
Name:WESTBROOK, KELLY E (MD)
Entity type:Individual
Prefix:DR
First Name:KELLY
Middle Name:E
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DUKE UNIVERSITY MEDICAL CENTER
Mailing Address - Street 2:DUMC BOX 3893; SEELY MUDD BLDG SUITE 447A
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710
Mailing Address - Country:US
Mailing Address - Phone:919-684-4563
Mailing Address - Fax:919-681-0874
Practice Address - Street 1:1650 ORLEANS ST RM 186
Practice Address - Street 2:THE JOHNS HOPKINS HOSPITAL, CRBI
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0013
Practice Address - Country:US
Practice Address - Phone:410-955-8893
Practice Address - Fax:410-955-8587
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-00926207R00000X, 207RX0202X
MDD68872207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology