St. Albans Integrative Health Center

NPI #1417249459 in Saint Albans, West Virginia

Provider Information

NPI Number
1417249459
Entity Type
Organization
Organization Name
St. Albans Integrative Health Center
Primary Specialty
Health Maintenance Organization
Enumeration Date
May 10, 2011
Last Updated
May 10, 2011

Practice Location

Address
200 MAIN ST
ZIP Code
25177-2802
Phone
(304) 201-3600

Authorized Official

Name
MR. RUDOLPH MICHAEL KEVAK JR., M.D.
Title
OWNER
Phone
(304) 201-3600

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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