Organization
BENWOOD MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE CHARLES KELLY DO (PRESIDENT OWNER)
(304) 233-1656
Entity
Organization
Contact information
Practice address
4850 EOFF ST, BENWOOD, WV 26031-1008
(304) 233-1656
(304) 233-1667
Mailing address
4850 EOFF ST, BENWOOD, WV 26031-1008
(304) 233-1656
(304) 233-1667
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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