National Provider Identifier Database

KINGWOOD FAMILY CARE LLC
Primary Care


Contact Information

KINGWOOD FAMILY CARE, LLC
17548 VETERANS MEMORIAL HIGHWAY
SUITE D
KINGWOOD, WV26537
Phone: 304-441-2001
Fax: 304-441-2009
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for KINGWOOD FAMILY CARE, LLC

NPI Number 1306330345
Legal business name
LBN
KINGWOOD FAMILY CARE, LLC
Authorized official ROBERT GOODWIN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/21/2018
Last updated 06/21/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: UD000764150001

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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