Organization
KANAWHA-CHARLESTON HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANNA K BONHAM CMA (OFFICE MANAGER)
(304) 348-8080
Entity
Organization
Contact information
Practice address
108 LEE ST E, CHARLESTON, WV 25301-1506
(304) 348-8080
(304) 346-4756
Mailing address
PO BOX 927, CHARLESTON, WV 25323-0927
(304) 348-8080
(304) 346-4756
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021340003
—
WV
Enumeration date
10/10/2006
Last updated
04/08/2026
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