Provider Demographics
NPI:1205824372
Name:WESTERFIELD, BYRON T (MD)
Entity Type:Individual
Prefix:DR
First Name:BYRON
Middle Name:T
Last Name:WESTERFIELD
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 1:3121 WALL ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1711
Mailing Address - Country:US
Mailing Address - Phone:859-219-9444
Mailing Address - Fax:859-219-9454
Practice Address - Street 1:3121 WALL ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1711
Practice Address - Country:US
Practice Address - Phone:859-219-9444
Practice Address - Fax:859-219-9454
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY26200207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYB05545Medicare UPIN
1566401Medicare PIN