Organization
KINGWOOD FAMILY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GOODWIN JR. (OWNER)
(304) 319-1825
Entity
Organization
Contact information
Practice address
17548 VETERANS MEMORIAL HIGHWAY, SUITE D, KINGWOOD, WV 26537
(304) 441-2001
(304) 441-2009
Mailing address
17548 VETERANS MEMORIAL HIGHWAY, SUITE D, KINGWOOD, WV 26537
(304) 441-2001
(304) 441-2009
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
UD000764150001
WV
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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