MEDICARE: BRANDI WEST L.AC.

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	171100000X	Acupuncturist	2016022151	MO

General Provider Information

NPI Number	:	1518310457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI WEST L.AC.

Provider Business Mailing Address
First Line	:	5019 LOWELL DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64129-1979
Country	:	US
Telephone Number	:	720-934-8765
Fax Number	:

Provider Business Practice Location Address
First Line	:	7235 CENTRAL ST
Second Line	:	#14
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-5717
Country	:	US
Telephone Number	:	816-237-8356
Fax Number	:

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

Provider Enumeration Date	:	07/15/2016
Last Update Date	:	07/15/2016

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Directions to “ BRANDI WEST L.AC.” Practice Location

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