# FAMILY HEALTH ASSOCIATES OF THE KANAWHA VALLEY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Health Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174686463
- **Authorized official:** DR. JULIE ANN DETEMPLE MD (MANAGER, OWNER)
- **Authorized official phone:** (304) 720-3555

## Contact information

- **Practice address:** 509 2ND AVE, SOUTH CHARLESTON, WV 25303-1310
- **Practice address phone:** (304) 720-3555
- **Practice address fax:** (304) 720-3556
- **Mailing address:** 509 2ND AVE, SOUTH CHARLESTON, WV 25303-1310
- **Mailing address phone:** (304) 720-3555
- **Mailing address fax:** (304) 720-3556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 04/22/2024