Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Family Health Associates of the Kanawha Valley, PLLC

Organization Family Medicine Physician · NPI 1174686463

Family Health Associates of the Kanawha Valley, PLLC is a Family Medicine Physician in South Charleston, West Virginia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

509 2nd Ave
South Charleston, WV 25303-1310
Phone: (304) 720-3555
Fax: (304) 720-3556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1174686463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Detemple — Manager, Owner · (304) 720-3555
Other names Family Health Associates
NPI enumeratedDecember 18, 2006
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing address509 2nd Ave, South Charleston, WV 25303-1310

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