Organization
CAPITOL NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIREN K REAHL MD (OWNER)
(304) 342-3891
Entity
Organization
Contact information
Practice address
415 MORRIS ST, SUITE 100, CHARLESTON, WV 25301-1842
(304) 342-3891
Mailing address
PO BOX 1323, SAINT ALBANS, WV 25177-1323
(304) 722-4867
(304) 722-5867
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
18694
WV
2084N0400X
Neurology Physician
18695
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006892
—
WV
Enumeration date
04/09/2007
Last updated
08/22/2020
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