MEDICARE: MURRAY D WEST M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	21761	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000047527	OTHER	KY	ANTHEM BLUE CROSS BLUE SH
2	5963086	OTHER	KY	AETNA INSURANCE

General Provider Information

NPI Number	:	1093784852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MURRAY D WEST M.D.

Provider Business Mailing Address
First Line	:	6 LINVILLE DR
Second Line	:
City	:	PARIS
State	:	KY
Zip	:	40361-2128
Country	:	US
Telephone Number	:	859-987-3710
Fax Number	:	859-987-8583

Provider Business Practice Location Address
First Line	:	6 LINVILLE DR
Second Line	:
City	:	PARIS
State	:	KY
Zip	:	40361-2128
Country	:	US
Telephone Number	:	859-987-3710
Fax Number	:	859-987-8583

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	12/09/2011

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Directions to “ MURRAY D WEST M.D.” Practice Location

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