KANAWHA COUNTY EMERGENCY AMBULANCE AUTHORITY HEALTH AND WELLNESS BOARD NPI 1033778642

NPI Information

KANAWHA COUNTY EMERGENCY AMBULANCE AUTHORITY HEALTH AND WELLNESS BOARD is a primary care clinic center in Charleston, WV. KANAWHA COUNTY EMERGENCY AMBULANCE AUTHORITY HEALTH AND WELLNESS BOARD NPI is 1033778642. The provider is registered as an organization entity type.
The provider Other Name Is Kceaa Health And Wellness Clinic.

The provider's business location address is:

601 BROOKS ST
CHARLESTON, WV
ZIP 25301-319
Phone: (304) 346-8877
Fax: (304) 414-5218

The provider's authorized official is Monica Leah Mason .
The authorized official title is Executive Dir, Chief Of Med Service and has the following contact phone number (304) 345-2312.

The enumeration date for this NPI number is 6/7/2019 and was last updated on 8/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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