Timothy M West PA-C

NPI 1265643878 - Physician Assistant - 363A00000X

NPI Details
NPI 1265643878
Gender Male
Enumeration Date 05/25/2007
Last Updated 10/16/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
289 IRELAND AVE
FORT KNOX KY, 40121-5111, US
Phone (502) 624-0640
Fax
Business Location
416 CABERNET DR
VINE GROVE KY, 40175-8407, US
Phone (270) 877-2843
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Mr. Timothy M West PA-C NPI is 1265643878, taxonomy code is 363A00000X Timothy M West PA-C physically located at 289 Ireland Ave, Fort Knox KY, 40121-5111. NPI Number Timothy M West PA-C has the Individual type.

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1265643878 NPI number is provided on an as is basis without warranty of any kind. 1265643878 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy M West PA-C are for informational purposes only.