Individual
MR. TIMOTHY M WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
875 PENNSYLVANIA AVE, BARDSTOWN, KY 40004-2529
(502) 348-5685
(502) 348-1771
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 540-3383
(502) 540-3393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC6664
KY
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1044689
NCCPA CERTIFICATION #
—
Enumeration date
05/25/2007
Last updated
12/11/2017
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