Individual
KIRSTEN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 769-3858
Mailing address
1111 RING RD, ELIZABETHTOWN, KY 42701-4900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TCA458
KY
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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