Wvupc-Kanawha Valley Family Practice
NPI #1114170693 in S Charleston, West Virginia
Provider Information
- NPI Number
- 1114170693
- Entity Type
- Organization
- Organization Name
- Wvupc-Kanawha Valley Family Practice
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 29, 2008
- Last Updated
- Oct 29, 2008
Practice Location
- Address
- 401 DIVISION ST
- Address 2
- SUITE 205
- City
- S Charleston
- State
- West Virginia
- ZIP Code
- 25309-1455
- Phone
- (304) 768-3941
Authorized Official
- Name
- ROBYN M MCDANIEL
- Title
- PROVIDER RELATIONS SUPERVISOR
- Phone
- (304) 293-5033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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