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

Wvupc Kanawha Valley Fp (Paasgrp)

Organization Family Medicine Physician · NPI 1902014038

Wvupc Kanawha Valley Fp (Paasgrp) is a Family Medicine Physician in South Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007

Practice location Address checks out

401 Division St Ste 205
South Charleston, WV 25309-0000
Phone: (304) 293-5033
Fax: (304) 293-6963
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 67050360001 (WV)

Record details

NPI number1902014038
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Miller — Provider Relations Analyst · (304) 293-5033
NPI enumeratedMay 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 7000, Morgantown, WV 26507-7000

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