Kanawha Medical Clinic

LBN: Kanawha Medical Clinic
Kanawha Medical Clinic is an health care organization with primary practice located at 331 Laidley St Suite 406, Charleston WV 25301-1619. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Kanawha Medical Clinic can be contacted via phone (304) 346-1410, or through Sakkal, Amal F via phone (304) 346-1410.

Contact Information

Primary practice address
331 Laidley St Suite 406 Charleston WV 25301-1619
Phone: (304) 346-1410
Fax: (304) 344-0188
Website:
Map and Directions
Authorized official contact:
Name: Sakkal, Amal F Doctor of Medicine (MD)
Phone: (304) 346-1410

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 19073 West Virginia

Profile Details

NPI number 1326255589
LBN Legal business name Kanawha Medical Clinic
DBA Doing business as
Authorized official Sakkal, Amal F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326255589 NPPES
West Virginia MEDICAID 0080971000

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