| Capitol Neurology Pllc | |
|
415 Morris St Suite 100 Charleston WV 25301-1842 | |
| (304) 342-3891 | |
| Not Available |
| Full Name | Capitol Neurology Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 415 Morris St, Charleston, West Virginia |
| Authorized Official Name and Position | Kiren K Reahl (OWNER) |
| Authorized Official Contact | 3043423891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Neurology Pllc Po Box 1323 Saint Albans WV 25177-1323 Ph: (304) 722-4867 | Capitol Neurology Pllc 415 Morris St Suite 100 Charleston WV 25301-1842 Ph: (304) 342-3891 |
| NPI Number | 1528181203 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528181203 | NPI | - | NPPES |
| 3810006892 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 18694 (West Virginia) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 18695 (West Virginia) | Secondary |
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