NPI 1205429271

Larry Whitehair, BA

Practitioner Case Manager/Care Coordinator Vienna, WV

Practice location

Address: 1100 9th St STE F, Vienna, WV 26105-2176
Phone: (304) 485-0791

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1205429271
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Feb 2021
Record last updated: 21 May 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.