OrganizationActive
Jan H. Cunningham, MD, PLLC
NPI 1962696112 · Medical Specialty Clinic/Center · Charleston, WV
Provider details
- NPI number
- 1962696112
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jan Cunningham, Owner, Member(304) 345-4770
- License
- 09984 (WV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
830 Pennsylvania Ave
405
Charleston, WV 25302-3302
Phone: (304) 345-4770
Fax: (304) 345-4774
Approximate (ZIP-level) locationGet directions
Mailing address
830 Pennsylvania Ave
Charleston, WV 25302-5302
Registry dates
- Enumerated
- 2007-08-30
- Last updated
- 2007-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.