Kanawha Surgicenter - Charleston, WV

Kanawha Surgicenter

Specialist in Charleston, West Virginia

NPI 1619038676

Kanawha Surgicenter is a Specialist based in Charleston, WV. Kanawha Surgicenter practices in Charleston, WV. The NPI Number for Kanawha Surgicenter is 1619038676 and holds a License No. 10453 (West Virginia).

The current practice location address for Kanawha Surgicenter is 4803 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-925-6390 and via fax at 304-925-7931.

Location: 4803 Maccorkle Ave Se, Charleston, WV, 25304-1948

NPI Number

1619038676

Provider Name

Kanawha Surgicenter

Credential

Provider Entity Type

Organization

Address

4803 Maccorkle Ave Se, Charleston, WV, 25304-1948

Phone Number

304-925-6390

Fax Number

304-925-7931

Provider Enumeration Date

12/13/2006

Last Update Date

02/15/2025

Identifier	Type	State	Issuer
0009812000	05	WV

Address

4803 Maccorkle Ave Se

City

Charleston

State

West Virginia

Zip

25304-1948

Phone Number

304-925-6390

Fax Number

304-925-7931

Address

4803 Maccorkle Ave Se

City

Charleston

State

West Virginia

Zip

25304-1948

Phone Number

304-925-6390

Fax Number

304-925-7931

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

10453 (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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