Healthcare Provider Details

I. General information

NPI: 1972758498
Provider Name (Legal Business Name): KYLE JAMES WEST D.C., N.P., R.N.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 05/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 W 2ND AVE
SPOKANE WA
99201-4412
US

IV. Provider business mailing address

17816 N FREEDOM LN
COLBERT WA
99005-9503
US

V. Phone/Fax

Practice location:
  • Phone: 509-462-2500
  • Fax:
Mailing address:
  • Phone: 509-315-5686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60389430
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH 00034827
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: