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NPI Code Detail

MEDICARE: MR. KASEY WEST CPHT

MEDICARE:  MR. KASEY  WEST  CPHT
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
1183700000XPharmacy Technician30031636

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
130031636OTHERPHARMACY TECHNICIAN CERTIFICATION BOARD
266496OTHERFLDEPARTMENT OF HEALTH

General Provider Information

NPI Number : 1801395314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KASEY WEST CPHT
Provider Business Mailing Address
First Line : 3142 STONECASTLE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-7879
Country : US
Telephone Number : 407-485-3454
Fax Number :
Provider Business Practice Location Address
First Line : 10425 NARCOOSSEE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32832-6902
Country : US
Telephone Number : 407-384-9353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2018
Last Update Date : 02/09/2018

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Directions to “ MR. KASEY WEST CPHT” Practice Location

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