Individual
KENNETH WAYNE WESTERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.F.A.
Contact information
Practice address
1100 S COULTER ST, AMARILLO, TX 79106-1836
(806) 468-9700
Mailing address
1100 S COULTER ST, AMARILLO, TX 79106-1836
(806) 468-9700
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
640621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8J3675
BLUE CROSS
TX
Enumeration date
08/20/2006
Last updated
03/29/2012
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