Doctor Name: | SHELLY WESTFALL |
NPI Number: | 1124388608 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.E. |
License Number: | 26775 |
Business Practice Address: | 10777 Nall Ave Suite 210 Overland Park, KS - 662111362 |
Business Phone Number: | 9135887600 |
Business Fax Number: | 9135889264 |
Mailing Address: | 10777 Nall Ave, Suite 210 OVERLAND PARK |
State: | KS |
Postal Code: | 662111362 |
Phone Number: | 9135887600 |
Fax Number: | 9135889264 |
NPI Enumeration Date: | 05/18/2012 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 26775 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |