Individual
KEVIN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
758 N ELLINGTON PKWY, LEWISBURG, TN 37091-2454
(931) 359-6204
Mailing address
758 N ELLINGTON PKWY, LEWISBURG, TN 37091-2454
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23986
TN
Other
Enumeration date
11/15/2011
Last updated
06/27/2021
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