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1 Kenton Dr Ste 100 Charleston WV 25311-1256 | |
| (304) 343-4583 | |
| (304) 343-1381 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Kenton Dr Ste 100, Charleston, West Virginia |
| Authorized Official Name and Position | Carrie Frame (PHYSICIAN) |
| Authorized Official Contact | 3043068990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1 Kenton Dr Ste 100 Charleston WV 25311-1256 Ph: (304) 306-8890 | 1 Kenton Dr Ste 100 Charleston WV 25311-1256 Ph: (304) 343-4583 |
| NPI Number | 1245923663 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 08/28/2024 |
| Medicare PECOS PAC ID | 0042671661 |
|---|---|
| Medicare Enrollment ID | O20230731000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245923663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Carrie P Frame |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992904270 PECOS PAC ID: 5698968964 Enrollment ID: I20101019000739 |
| Provider Name | Molly Beth White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912483447 PECOS PAC ID: 3577809839 Enrollment ID: I20190108003104 |
| Provider Name | Bradley Henry Hoffman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093166076 PECOS PAC ID: 2668713660 Enrollment ID: I20190401000107 |
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