Organization
HELOISE D WESTBROOK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELOISE D WESTBROOK MD PHD (DIRECTOR)
(270) 641-0526
Entity
Organization
Contact information
Practice address
2233 W EVERLY BROTHERS BLVD STE II-C, POWDERLY, KY 42367-5405
(270) 641-0526
(270) 641-0745
Mailing address
2233 W EVERLY BROTHERS BLVD STE II-C, POWDERLY, KY 42367-5405
(270) 641-0526
(631) 329-6951
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K270401
MEDICARE PTAN
KY
Enumeration date
05/18/2006
Last updated
07/21/2020
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