Healthcare Provider Details

I. General information

NPI: 1609837319
Provider Name (Legal Business Name): KIMBERLY DARLENE WEST MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY DARLENE HIGGINS MD

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 03/21/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 E CHEROKEE ST
SPRINGFIELD MO
65804-2203
US

IV. Provider business mailing address

1235 E CHEROKEE ST
SPRINGFIELD MO
65804-2203
US

V. Phone/Fax

Practice location:
  • Phone: 417-820-3890
  • Fax:
Mailing address:
  • Phone: 417-820-3890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number04-33125
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2021050734
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: