Organization
KANAWHA COUNTY EMERGENCY AMBULANCE AUTHORITY HEALTH AND WELLNESS BOARD
Active
Other names
KCEAA Health and Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA LEAH MASON FNP-BC (EXECUTIVE DIR, CHIEF OF MED SERVICE)
(304) 345-2312
Entity
Organization
Contact information
Practice address
601 BROOKS ST, CHARLESTON, WV 25301-1319
(304) 346-8877
(304) 414-5218
Mailing address
601 BROOKS ST, CHARLESTON, WV 25301-1319
(304) 346-8877
(304) 414-5218
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
08/10/2021
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