NPI 1497861819 · live from the CMS NPI Registry
Benwood Medical Clinic INC
Family Medicine in Benwood, WV. National Provider Identifier 1497861819, active.
NPI record
| NPI | 1497861819 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 4850 Eoff St, Benwood, WV 26031 |
| Practice phone | 304-233-1656 |
| Enumerated | August 21, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Lawrence Kelly, President Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.