Organization
KANAWHA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMAL F SAKKAL M.D. (OWNER)
(304) 346-1410
Entity
Organization
Contact information
Practice address
331 LAIDLEY ST, SUITE 406, CHARLESTON, WV 25301-1619
(304) 346-1410
(304) 344-0188
Mailing address
331 LAIDLEY ST, SUITE 406, CHARLESTON, WV 25301-1619
(304) 346-1410
(304) 344-0188
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19073
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080971000
—
WV
Enumeration date
05/17/2007
Last updated
08/22/2020
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