NPI 1174686463
Family Health Associates of the Kanawha Valley, PLLC
Practice location
- Address
- 509 2nd Ave, South Charleston, WV 25303-1310
- Phone
- (304) 720-3555
- Fax
- (304) 720-3556
Authorised official
- Name
- Julie Ann Detemple
- Title
- Manager, Owner
- Phone
- (304) 720-3555
Registered specialties (3)
Family Medicine Physician
Primary
Physician Assistant
Family Nurse Practitioner
Registry record
- NPI
- 1174686463
- Entity type
- Organization
- NPI issued
- 18 Dec 2006
- Record last updated
- 22 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.