West, Andrew J

West, Andrew J is an individual health care provider with primary practice located at 2811 Klempner Way , Louisville KY 40205-4203. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. West, Andrew J can be contacted via phone (502) 896-6355.

Contact Information

Primary practice address
2811 Klempner Way Louisville KY 40205-4203
Phone: (502) 896-6355
Fax: (502) 896-9813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 32374 Kentucky
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 32374 Kentucky
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 32374 Kentucky

Profile Details

NPI number 1376631580
LBN Legal business name West, Andrew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jun 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376631580 NPPES
Kentucky Other 2436690000 PASSPORT ADVANTAGE
Kentucky Other 4884 PASSPORT ADVANTAGE
Kentucky MEDICAID 64323744-00 PASSPORT ADVANTAGE
Kentucky Other 1110678 PASSPORT ADVANTAGE

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