NPI 1215089768
Shannon Kay West, CFACST
Practice location
- Address
- 3155 Channing Way Suite B, Idaho Falls, ID 83404-7561
- Phone
- (208) 535-4800
- Mailing address
- 1200 Barney Dairy Rd, Rexburg, ID 83440-3546
Registered specialties
Surgical Technologist
Primary
Registry record
- NPI
- 1215089768
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Jan 2007
- Record last updated
- 16 Jul 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.