KERSTIN INGER WEST-WILSON (NPI# 1245491448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245491448 |
Entity Type | Individual |
Full Name | KERSTIN INGER WEST-WILSON |
Credential | RNC, IBCLC |
Practice Address |
2409 W Twin Oaks St Broken Arrow OK 74011-1453 |
Practice Telephone | 9184946455 |
Practice Fax Number | 9184947390 |
Mailing Telephone | 9184946455 |
Mailing Fax Number | 9184947390 |
Enumeration Date | 2008-06-19 |
Last Update Date | 2008-06-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 197-14363 | OK | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | IBCLC | 197-14363 | 01 |
Street Address |
2409 W TWIN OAKS ST |
City | BROKEN ARROW |
State | OK |
Zip Code | 74011-1453 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336663699 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 | 2017-07-28 |
1053833608 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Suite 101, Broken Arrow, OK 74011 | 2017-07-14 |
1184079709 | Melissa David | Lactation Consultant, Non-RN | 417 West San Diego St., Broken Arrow, OK 74011 | 2016-05-02 |
1154789576 | Rebecca Young | Registered Nurse | 7801 S Oak Pl, Broken Arrow, OK 74011 | 2016-01-29 |
1942524061 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 751 W Tuscan St, 121st, Broken Arrow, OK 74011 | 2010-03-18 |
1174764336 | Linda J. Russell | Counselor | 2446 W New Orleans St, Broken Arrow, OK 74011 | 2009-03-18 |
1851409080 | Kim Lee Mcneal | Dentist | 3764 South Elm Place, Broken Arrow, OK 74011 | 2006-08-28 |
1669433249 | Matthew E Ozment | Optometrist | 2500 West New Orleans, Broken Arrow, OK 74011 | 2006-03-31 |
1912275140 | Courtney Brooke Willcoxon | Pharmacist | 4704 S Elm Pl, Broken Arrow, OK 74011 | 2011-12-02 |
1558322883 | Gerald Seefeldt | Family Medicine | 66 Cedar Ridge Rd, Broken Arrow, OK 74011-1101 | 2006-03-28 |
Find all providers in zip 74011 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457749160 | Rhonda Herron | Specialist | 19305 E 46th St S, Broken Arrow, OK 74014-1367 | 2015-01-05 |
1265696223 | Kathleen Ann Adams | Specialist | 7303 S Oak Pl, Broken Arrow, OK 74011-5804 | 2008-07-17 |
1740465376 | Penny Kumrow | Specialist | 2212 W Nashville St, Broken Arrow, OK 74012-4723 | 2008-01-02 |
1770615312 | Paul Yosepa Lewis | Specialist | 1605a S Main St, Broken Arrow, OK 74012-5604 | 2007-03-09 |
1164450342 | Karla Moseley | Specialist | 2208 N Yellowood Ave, Broken Arrow, OK 74012-9102 | 2006-06-28 |
1003851114 | Andrea Pearl Humphreys | Specialist | 3213 N 8th Pl, Broken Arrow, OK 74012-8221 | 2006-06-20 |
1477009256 | Amattco LLC | Specialist | 3100 S Elm Pl, Suite B, Broken Arrow, OK 74012-7950 | 2016-08-31 |
1780972224 | Tulsa Urology Plc | Specialist | 800 W Boise Cir, #210, Broken Arrow, OK 74012-4906 | 2011-07-19 |
1417251547 | Autism Behavior Consultants of Oklahoma, Ltd | Specialist | 2208 N Yellowood Ave, Broken Arrow, OK 74012-9102 | 2011-01-04 |
1033443601 | Douglas Mitchell | Specialist | 2208 N Yellowood Ave, Broken Arrow, OK 74012-9102 | 2009-09-29 |
Find all providers in BROKEN ARROW |
City | BROKEN ARROW |
Zip Code | 74011 |
Please comment or provide details below to improve the information on KERSTIN INGER WEST-WILSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.