Organization
CAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MICHELLE HAIKAL (PHYSICIAN ASSISTANT)
(304) 552-4896
Entity
Organization
Contact information
Practice address
82 ELIZABETH ST, POCA, WV 25159-9644
(304) 552-4896
Mailing address
82 ELIZABETH ST, POCA, WV 25159-9644
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
1083067
WV
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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