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Individual

DR. SUSANNA A. KAPOURALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
300 CORPORATE CENTER DRIVE, SCOTT DEPOT, WV 25560
(304) 691-8870
(304) 691-6751
Mailing address
1600 MEDICAL CENTER DR STE 3500, HUNTINGTON, WV 25701-3655
(304) 691-1300
(304) 691-1375

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25680
WV

Other

Enumeration date
06/02/2011
Last updated
12/02/2021
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