| NPI | 1770790396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK L KINDER Medical Director Employee Health 304-388-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WV 36304) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2012-10-29 |