Individual
DR. KENNETH W WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1002 TEXAS BLVD, SUITE 200, TEXARKANA, TX 75501-5107
(903) 792-4808
(903) 792-2681
Mailing address
1002 TEXAS BLVD, SUITE 200, TEXARKANA, TX 75501-5107
(903) 792-4808
(903) 792-2681
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L2745
TX
Other
Enumeration date
07/08/2005
Last updated
10/22/2007
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