institution
Kanawha Medical Clinic
Specialist in Charleston, West Virginia
NPI 1326255589

Kanawha Medical Clinic is a Specialist based in Charleston, WV. Kanawha Medical Clinic practices in Charleston, WV. The NPI Number for Kanawha Medical Clinic is 1326255589 and holds a License No. 19073 (West Virginia).

The current practice location address for Kanawha Medical Clinic is 331 Laidley St, Charleston, WV and can be reached out via phone at 304-346-1410 and via fax at 304-344-0188.

Location: 331 Laidley St, Charleston, WV, 25301-1619
institution
Provider Profile Details
NPI Number
1326255589
Provider Name
Kanawha Medical Clinic
Credential
Provider Entity Type
Organization
Address
331 Laidley St, Charleston, WV, 25301-1619
Phone Number
304-346-1410
Fax Number
304-344-0188
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0080971000 05 WV
institution
Provider Business Practice Location Address Details
Address
331 Laidley St
City
State
Zip
25301-1619
Phone Number
304-346-1410
Fax Number
304-344-0188
person
Provider Business Mailing Address Details
Address
331 Laidley St
City
State
Zip
25301-1619
Phone Number
304-346-1410
Fax Number
304-344-0188
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
19073 (West Virginia)
Definition
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.
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