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General NPI Number Information
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NPI Number | 1447207469
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Entity Type | Organization
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Legal Business Name | SLEEP DISORDERS CENTER PLLC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 3121 WALL ST STE 200
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City | LEXINGTON
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State | KY
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Zip | 40513-9007
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Country | US
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Telephone | 859-223-9990
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Fax | 859-219-9454
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Provider Business Mailing Address
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Address Line | 3121 WALL ST STE 200
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City | LEXINGTON
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State | KY
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Zip | 40513-9007
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Country | US
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Telephone | 859-223-9990
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Fax | 859-219-9454
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. BYRON T WESTERFIELD
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Credential | MD
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Telephone | 859-223-9990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | 730056
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License Number State | KY
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