MEDICARE: CAMERON WEST MD

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	207N00000X	Dermatology Physician	04-38930	KS

General Provider Information

NPI Number	:	1952539421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMERON WEST MD

Provider Business Mailing Address
First Line	:	5519 E 4TH AVE
Second Line	:
City	:	HUTCHINSON
State	:	KS
Zip	:	67501-8001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1861 N ROCK RD STE 310
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67206-1264
Country	:	US
Telephone Number	:	316-612-1833
Fax Number	:

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

Provider Enumeration Date	:	06/23/2009
Last Update Date	:	06/12/2024

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Directions to “ CAMERON WEST MD” Practice Location

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