Healthcare Provider Details

I. General information

NPI: 1992435515
Provider Name (Legal Business Name): RACHEL LYNN WEST PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL LYNN KIKER PA-C

II. Dates (important events)

Enumeration Date: 06/15/2022
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 REGIONAL DR
PINEHURST NC
28374-8850
US

IV. Provider business mailing address

15 REGIONAL DR
PINEHURST NC
28374-8850
US

V. Phone/Fax

Practice location:
  • Phone: 910-255-4400
  • Fax: 910-235-3432
Mailing address:
  • Phone: 910-255-4400
  • Fax: 910-235-3432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-12341
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: