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WVUPC KANAWHA VALLEY FP (PAASGRP) NPI 1902014038


NPI Information

NPI: 1902014038
Provider Name: WVUPC KANAWHA VALLEY FP (PAASGRP)
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
401 DIVISION STREET
SUITE 205
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (304) 293-5033
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WVUPC KANAWHA VALLEY FP (PAASGRP) is a family medicine in South Charleston, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WVUPC KANAWHA VALLEY FP (PAASGRP) NPI is 1902014038. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

401 DIVISION STREET
SUITE 205
SOUTH CHARLESTON, WV
ZIP 25309-000
Phone: (304) 293-5033
Fax: (304) 293-6963

The provider's authorized official is Terry Miller .
The authorized official title is Provider Relations Analyst and has the following contact phone number (304) 293-5033.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine67050360001WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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