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Individual

KATHLEEN WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0478
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0478

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001807
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000044714
ANTHEM
KY
05
7100128110
KY
Enumeration date
11/13/2009
Last updated
07/02/2014
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