| NPI Details | |
|---|---|
| NPI | 1174686463 |
| Enumeration Date | 12/18/2006 |
| Last Updated | 04/16/2015 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | JULIE JULIE |
| Position | OWNER |
| Phone | (304) 720-3555 |
| Fax | (304) 720-3556 |
| Practice Location | |
|---|---|
| 509 2ND AVENUE SOUTH CHARLESTON WV, 25303-1310, US |
|
| Phone | (304) 720-3555 |
| Fax | (304) 720-3556 |
| Business Location | |
|---|---|
| PO BOX 453 WHITE SULPHUR SPRINGS WV, 24986-0453, US |
|
| Phone | (304) 536-5030 |
| Fax | (304) 536-5031 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207Q00000X |
| License State | West Virginia |
| License Number | 19688 |
| Remove 1174686463 NPI Number | |
According to our database, Family Health Associates Of The Kanawha Valley, Pllc NPI is 1174686463, taxonomy code is 207Q00000X and license number is 19688, license state is located at West Virginia. Family Health Associates Of The Kanawha Valley, Pllc physically located at 509 2nd Avenue, South Charleston WV, 25303-1310. NPI Number 1033115704 has the healthcare provider type.
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1174686463 NPI number is provided on an as is basis without warranty of any kind. 1174686463 is maintained by the National Plan & Provider Enumeration System. The contents of Family Health Associates Of The Kanawha Valley, Pllc are for informational purposes only.
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