Clinch Valley Nephrology,inc.

NPI #1295914679 in Richlands, Virginia

Provider Information

NPI Number
1295914679
Entity Type
Organization
Organization Name
Clinch Valley Nephrology,inc.
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Nov 1, 2007
Last Updated
Nov 1, 2007

Practice Location

Address
2951 FRONT ST
Address 2
CLINCH VALLEY MEDICAL PLAZA, SUITE 1600
ZIP Code
24641-2055
Phone
(276) 964-4001

Authorized Official

Name
IN YOUNG PARK, M.D.
Title
C.E.O.
Phone
(276) 964-4001

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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