Organization
KANAWHA UROLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HENRY MANI MD (PRESIDENT)
(304) 768-7368
Entity
Organization
Contact information
Practice address
400 DIVISION STREET, STE 6, SOUTH CHARLESTON, WV 25309-1459
(304) 768-7368
(304) 768-1829
Mailing address
400 DIVISION STREET, STE 6, SOUTH CHARLESTON, WV 25309-1459
(304) 768-7368
(304) 768-1829
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5580094000
—
WV
Enumeration date
08/18/2006
Last updated
08/22/2020
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