MEDICARE: KAYLA WEST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	4703123001	MI

General Provider Information

NPI Number	:	1245006600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA WEST

Provider Business Mailing Address
First Line	:	816 RIDGELAND DR
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48604-2131
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	816 RIDGELAND DR
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48604-2131
Country	:	US
Telephone Number	:	989-332-7778
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2023
Last Update Date	:	11/28/2023

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Directions to “ KAYLA WEST ” Practice Location

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