Individual
MR. JAMES KENTON WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 MADISON AVE, MADISON, WV 25130-1669
(304) 369-4250
(304) 369-8808
Mailing address
701 MADISON AVE, MADISON, WV 25130-1669
(304) 369-4250
(304) 369-8808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
771
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00140982
RR MEDICARE
WV
05
—
0050721000
—
WV
05
—
2550065
—
OH
Enumeration date
01/23/2006
Last updated
09/16/2010
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