Individual
NATHANAEL RIHARD CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 TRACY WAY STE 100, CHARLESTON, WV 25311-1280
(304) 733-5010
Mailing address
400 TRACY WAY STE 100, CHARLESTON, WV 25311-1280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1159628
KY
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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