Healthcare Provider Details

I. General information

NPI: 1972415552
Provider Name (Legal Business Name): JAMARION KENTREL WALKER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 CRESTWOOD BLVD
IRONDALE AL
35210-1478
US

IV. Provider business mailing address

2940 CRESTWOOD BLVD
IRONDALE AL
35210-1478
US

V. Phone/Fax

Practice location:
  • Phone: 205-542-5177
  • Fax:
Mailing address:
  • Phone: 205-542-5177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDO.5926
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: