| Kanawha Valley Internal Medicine Pllc | |
|
3418 Staunton Ave Se Charleston WV 25304-1327 | |
| (304) 720-3600 | |
| Not Available |
| Full Name | Kanawha Valley Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3418 Staunton Ave Se, Charleston, West Virginia |
| Authorized Official Name and Position | Kimberly Spurlock (PHYSICIAN) |
| Authorized Official Contact | 3047203600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kanawha Valley Internal Medicine Pllc 15 Quail Pointe Dr Charleston WV 25302-4570 Ph: (304) 345-3228 | Kanawha Valley Internal Medicine Pllc 3418 Staunton Ave Se Charleston WV 25304-1327 Ph: (304) 720-3600 |
| NPI Number | 1659574382 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659574382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1872 (West Virginia) | Primary |
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