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
LANCE V WHEELER (EXECUTIVE DIRECTOR)
(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
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/07/2019
Last updated
07/10/2026
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