Individual
COLLEEN WESTENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UNIVERSITY OF KENTUCKY & AFFILIATES, 800 ROSE STREET, LEXINGTON, KY 40536-0001
(859) 323-5641
Mailing address
1117 GREEN MEADOW LN, SPRINGFIELD, IL 62712-8643
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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