| NPI | 1326328006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDOLPH MICHAEL KEVAK President 304-201-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 18688) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |