Search › West Virginia › 3747P1801X

Chanz Pancake

NPI 1588403851 · on the registry since 2024 · sole proprietor

Practice

Address
1401 Chestnut St
Kenova, WV 25530
Phone
(304) 453-2800
Organisation at this address
Diversified Assessment & Therapy Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
108

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Sex
Male
Record last updated
2024-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia