Provider Demographics
NPI:1881664332
Name:WEST, KATHRYN (ARNP, CNM)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4343
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99302-4343
Mailing Address - Country:US
Mailing Address - Phone:509-551-1991
Mailing Address - Fax:509-734-4334
Practice Address - Street 1:1901 N 20TH AVE
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-3304
Practice Address - Country:US
Practice Address - Phone:509-543-9777
Practice Address - Fax:509-734-4334
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005831176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9630419Medicaid