Individual
KATHLEEN ELIZABETH WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3034
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 873-9533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
157661
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
4564
NC
367500000X
Certified Registered Nurse Anesthetist
48952
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430044638
RAILROAD-MEDICARE
NC
05
—
8051062
—
NC
Enumeration date
01/23/2007
Last updated
06/26/2023
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