Individual
KENNETH ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1563 SAND PLANT RD, SOUTH CHARLESTON, WV 25309-6120
(304) 756-1500
(304) 756-1549
Mailing address
4700 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5804
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2063
WV
207Q00000X
Family Medicine Physician
Primary
2063
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001886032
HIGHMARK BCBS
WV
01
—
2063
LICENSE
WV
05
—
3810006146
—
WV
Enumeration date
09/21/2006
Last updated
12/30/2016
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