Organization
HENRY M WEST MD PLLC
Active
Other names
DEERFIELD FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY MARTIN WEST MD (OWNER)
(859) 879-3115
Entity
Organization
Contact information
Practice address
290 LEXINGTON ST, VERSAILLES, KY 40383-1240
(859) 879-3115
(859) 879-3818
Mailing address
290 LEXINGTON ST, P.O.BOX 846, VERSAILLES, KY 40383-1240
(859) 879-3115
(859) 879-3818
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20583
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000323903
ANTHEM
KY
Enumeration date
06/18/2008
Last updated
07/21/2008
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