Individual
KEVIN WALNOHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PR
Contact information
Practice address
2333 MCCORKLE AVE, SAINT ALBANS, WV 25177-2073
(681) 294-6861
Mailing address
2333 MCCORKLE AVE, SAINT ALBANS, WV 25177-2073
(681) 294-6861
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
21-9136
WV
175T00000X
Peer Specialist
—
WV
Other
Enumeration date
04/29/2022
Last updated
01/31/2023
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