Organization
BECKLEY V AMC
Active
Organization
BECKLEY V AMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA KENNEDA (CREDENTIALS COORDINATOR)
(304) 255-2121
Entity
Organization
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(859) 229-8066
Mailing address
34 KINGLET PL, BECKLEY, WV 25801-1603
(859) 229-8066
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
RP0007053
WV
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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