Kanawha Surgicenter

NPI 1205933421 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1205933421
Enumeration Date 09/20/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GORLI GORLI
Position DIRECTOR
Phone (304) 925-6390
Fax (304) 925-7931
Practice Location
4803 MACCORKLE AVE SE
CHARLESTON WV, 25304-1948, US
Phone (304) 925-6390
Fax (304) 925-7931
Business Location
4803 MACCORKLE AVE SE
CHARLESTON WV, 25304-1948, US
Phone (304) 925-6390
Fax (304) 925-7931
Toxanomy
Taxonomy Code 291U00000X
License State West Virginia
License Number 10453
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According to our database, Kanawha Surgicenter NPI is 1205933421, taxonomy code is 291U00000X and license number is 10453, license state is located at West Virginia. Kanawha Surgicenter physically located at 4803 Maccorkle Ave Se, Charleston WV, 25304-1948. NPI Number 1033115704 has the healthcare provider type.

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1205933421 NPI number is provided on an as is basis without warranty of any kind. 1205933421 is maintained by the National Plan & Provider Enumeration System. The contents of Kanawha Surgicenter are for informational purposes only.