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Organization
ST. ALBANS INTEGRATIVE HEALTH CENTER
Active
Organization
ST. ALBANS INTEGRATIVE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUDOLPH MICHAEL KEVAK JR. M.D. (OWNER)
(304) 201-3600
Entity
Organization
Contact information
Practice address
200 MAIN ST, SAINT ALBANS, WV 25177-2802
(304) 201-3600
(304) 201-2368
Mailing address
552 BOX, ST. ALBANS, WV 25177
(304) 201-3600
(304) 201-2368
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
18688
WV
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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