| Kingwood Family Care, Llc | |
|
17548 Veterans Memorial Highway Suite D Kingwood WV 26537 | |
| (304) 441-2001 | |
| (304) 441-2009 |
| Full Name | Kingwood Family Care, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 17548 Veterans Memorial Highway, Kingwood, West Virginia |
| Authorized Official Name and Position | Robert Goodwin (OWNER) |
| Authorized Official Contact | 3043191825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingwood Family Care, Llc 17548 Veterans Memorial Highway Suite D Kingwood WV 26537 Ph: (304) 441-2001 | Kingwood Family Care, Llc 17548 Veterans Memorial Highway Suite D Kingwood WV 26537 Ph: (304) 441-2001 |
| NPI Number | 1306330345 |
|---|---|
| Provider Enumeration Date | 06/21/2018 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306330345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | UD000764150001 (West Virginia) | Primary |
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