Organization Name: | KANAWHA VALLEY FOOT AND ANKLE ASSOCIATES, PLLC |
NPI Number: | 1083750335 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL PATRICK NOTO (MANAGING MEMBER) |
Mailing Address: | 209 Fourth Ave St Albans |
State: | WV US |
Postal Code: | 251772821 |
Phone Number: | 3047279200 |
Fax Number: | 3047276999 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 03/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 00367 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |