NPI 1629176540 · live from the CMS NPI Registry
Kenneth Adkins, DO
Family Medicine in South Charleston, WV. National Provider Identifier 1629176540, active.
NPI record
| NPI | 1629176540 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1563 Sand Plant Rd, South Charleston, WV 25309 |
| Practice phone | 304-756-1500 |
| Mailing address | 4700 Lynn Ave, Hamlin, WV 25523 |
| Enumerated | September 21, 2006 |
| Last updated | December 30, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | 2063 (WV) |
| Family Medicine primary | 207Q00000X | 2063 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.