| Organization Name: | HENRY M WEST MD PLLC |
| NPI Number: | 1265693758 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HENRY MARTIN WEST (OWNER) |
| Mailing Address: | 290 Lexington St Versailles |
| State: | KY US |
| Postal Code: | 403831240 |
| Phone Number: | 8598793115 |
| Fax Number: | 8598793818 |
| NPI Enumeration Date: | 06/18/2008 |
| NPI Last Update Date: | 07/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 20583 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |