institution
Kanawha Valley Radiologists Incorporated
Diagnostic Radiology Physician in South Charleston, West Virginia
NPI 1609975630

Kanawha Valley Radiologists Incorporated is a Diagnostic Radiology Physician based in Lima, WV and is specialized in Diagnostic Radiology. Kanawha Valley Radiologists Incorporated practices in South Charleston, WV. The NPI Number for Kanawha Valley Radiologists Incorporated is 1609975630 and holds a License No. (West Virginia).

The current practice location address for Kanawha Valley Radiologists Incorporated is 4605 Maccorkle Ave Sw, South Charleston, WV and can be reached out via phone at 304-766-3600 and via fax at 304-343-4626. You can also correspond with Kanawha Valley Radiologists Incorporated through the mailing address at PO BOX 840, LIMA, OH - 45802-0840 (mailing address contact number: 877-574-7116).

Location: 4605 Maccorkle Ave Sw, South Charleston, WV, 45802-0840
institution
Provider Profile Details
NPI Number
1609975630
Provider Name
Kanawha Valley Radiologists Incorporated
Credential
Provider Entity Type
Organization
Address
4605 Maccorkle Ave Sw, South Charleston, WV, 45802-0840
Phone Number
304-766-3600
Fax Number
304-343-4626
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0008099000 05 WV
020021700 01 WV FEDERAL BLACK LUNG
0216288 01 OH OHIO MEDICAID
5643 01 WV CARELINK
001709440 01 WV MT STATE BLUE CROSS GRP #
0060705 05 OH
institution
Provider Business Practice Location Address Details
Address
4605 Maccorkle Ave Sw
City
State
Zip
25309-1311
Phone Number
304-766-3600
Fax Number
304-343-4626
person
Provider Business Mailing Address Details
Address
4605 Maccorkle Ave Sw
City
State
Zip
25309-1311
Phone Number
304-766-3600
Fax Number
304-343-4626
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
(West Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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