Provider Demographics
NPI:1093784852
Name:WEST, MURRAY D (MD)
Entity Type:Individual
Prefix:
First Name:MURRAY
Middle Name:D
Last Name:WEST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LINVILLE DR
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-2128
Mailing Address - Country:US
Mailing Address - Phone:859-987-3710
Mailing Address - Fax:859-987-8583
Practice Address - Street 1:6 LINVILLE DR
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-2128
Practice Address - Country:US
Practice Address - Phone:859-987-3710
Practice Address - Fax:859-987-8583
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY21761207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000047527OtherANTHEM BLUE CROSS BLUE SH
KY5963086OtherAETNA INSURANCE
KYC74421Medicare UPIN
KY64217615Medicare ID - Type Unspecified
KY1336201Medicare ID - Type Unspecified