Organization Name: | KANAWHA INSTITUTE FOR SOCIAL RESEARCH & ACTION, INC. |
NPI Number: | 1619239407 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE FOSTER (CEO) |
Mailing Address: | 131 Perkins Ave Dunbar |
State: | WV US |
Postal Code: | 250641433 |
Phone Number: | 3047688924 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2012 |
NPI Last Update Date: | 06/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 62704 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |