Individual
DR. KENNETH J WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 BOXWOOD LN, PEARISBURG, VA 24134-1168
(540) 921-3636
Mailing address
430 BOXWOOD LN, PEARISBURG, VA 24134-1168
(540) 921-3636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-027930
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005646677
—
VA
05
—
1720061963
—
VA
Enumeration date
11/22/2005
Last updated
08/26/2014
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