Individual
RANDALL WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
57 DORA LN, GREENUP, KY 41144-1187
(606) 473-7333
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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