Individual
DR. KEVIN BRUCE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
1515 TRUEMPER, BLDG 6612, LACKLAND A F B, TX 78236-5550
(210) 671-9654
(210) 671-6480
Mailing address
100 PAUL WAGNER DR, BLDG 1730 ATTN CREDENTIALS CMC CHARNELL MCDONALD, KELLY USA, TX 78241
(210) 925-0321
(210) 925-0327
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
M2196
TX
2083X0100X
Occupational Medicine Physician
Primary
M2196
TX
Other
Enumeration date
07/15/2006
Last updated
05/22/2008
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