Individual provider · NPI-1

Kenneth Adkins, DO

Family Medicine · South Charleston, WV

NPI number1629176540
StatusActive
Last updated in NPPESDec 30, 2016

Details

NPI
1629176540
Entity type
Individual (NPI-1)
Name
Kenneth Adkins
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Sep 21, 2006
Last updated
Dec 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2063WVYes
207P00000X Emergency Medicine2063WV

Practice location

1563 Sand Plant Rd
South Charleston, WV 25309-6120

Phone 304-756-1500 · Fax 304-756-1549

Mailing address

4700 Lynn Ave
Hamlin, WV 25523-1138

Phone 304-824-5806 · Fax 304-824-5804

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