| NPI | 1689487373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GROVER GLENDON KERNS VP Finance 304-260-1443 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 213ES0131X Podiatrist, Foot Surgery | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |