Individual provider · NPI-1

James Kenton Walker, DO

Family Medicine · Madison, WV

NPI number1265412472
StatusActive
Last updated in NPPESSep 16, 2010

Details

NPI
1265412472
Entity type
Individual (NPI-1)
Name
Mr. James Kenton Walker
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jan 23, 2006
Last updated
Sep 16, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine771WVYes

Practice location

701 Madison Ave
Madison, WV 25130-1669

Phone 304-369-4250 · Fax 304-369-8808

Mailing address

701 Madison Ave
Madison, WV 25130-1669

Phone 304-369-4250 · Fax 304-369-8808

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