Organization
WEIRTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRAVEENA KANDALA R.D (CLINICAL DIETITIAN)
(304) 797-6000
Entity
Organization
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6000
(304) 797-6186
Mailing address
5313 TERRACE VIEW DR, MC DONALD, PA 15057-3530
(304) 797-6436
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
511
WV
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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