# KANAWHA PATHOLOGY ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346249448
- **Authorized official:** DR. ROBERT M FULKS MD (PRESIDENT/PATHOLOGIST)
- **Authorized official phone:** (304) 766-3560

## Contact information

- **Practice address:** 4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
- **Practice address phone:** (304) 766-3560
- **Mailing address:** PO BOX 9129, SOUTH CHARLESTON, WV 25309-0129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 10/11/2007