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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 Specialty Code Provider Type

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for KINGWOOD FAMILY CARE, LLC

NPI Number 1306330345
LBN Legal business name KINGWOOD FAMILY CARE, LLC
Authorized official ROBERT GOODWIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/21/2018
Last updated 06/21/2018 - About 8 years ago
Identifiers
WV License # UD000764150001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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