Healthcare Provider Details

I. General information

NPI: 1366145005
Provider Name (Legal Business Name): BRITTNY JEAN WESTERN DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 MAYSVILLE RD
MT STERLING KY
40353-9767
US

IV. Provider business mailing address

236 W MAIN ST
MOUNT STERLING KY
40353-1348
US

V. Phone/Fax

Practice location:
  • Phone: 859-274-0783
  • Fax:
Mailing address:
  • Phone: 859-274-0783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number309924
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: