Individual
MISS BREANNA KELLY WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1789
(806) 212-5750
Mailing address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 212-5750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18838
TX
Other
Enumeration date
12/13/2023
Last updated
02/19/2025
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