| West Easy Practitioners Llc | |
|
557 Valleyview Dr Kent OH 44240-4525 | |
| (330) 241-2314 | |
| Not Available |
| Full Name | West Easy Practitioners Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 557 Valleyview Dr, Kent, Ohio |
| Authorized Official Name and Position | Stephanie West (OWNER) |
| Authorized Official Contact | 3302412314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Easy Practitioners Llc 557 Valleyview Dr Kent OH 44240-4525 Ph: () - | West Easy Practitioners Llc 557 Valleyview Dr Kent OH 44240-4525 Ph: (330) 241-2314 |
| NPI Number | 1710671227 |
|---|---|
| Provider Enumeration Date | 06/07/2023 |
| Last Update Date | 06/07/2023 |
| Medicare PECOS PAC ID | 8820456585 |
|---|---|
| Medicare Enrollment ID | O20230628001097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710671227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephanie M West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598246902 PECOS PAC ID: 0749533479 Enrollment ID: I20181026001878 |
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