Healthcare Provider Details

I. General information

NPI: 1679736037
Provider Name (Legal Business Name): RYAN WEST M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 LINVILLE DR
PARIS KY
40361-2128
US

IV. Provider business mailing address

6 LINVILLE DR
PARIS KY
40361-2128
US

V. Phone/Fax

Practice location:
  • Phone: 859-987-3710
  • Fax: 859-639-1996
Mailing address:
  • Phone: 859-987-3710
  • Fax: 859-639-1996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number42507
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number42507
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: