Healthcare Provider Details

I. General information

NPI: 1003994450
Provider Name (Legal Business Name): DAVID K WALKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 03/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3194 CORE RD
PARKERSBURG WV
26104-1556
US

IV. Provider business mailing address

3199 CORE RD
PARKERSBURG WV
26104-1557
US

V. Phone/Fax

Practice location:
  • Phone: 304-485-0082
  • Fax: 304-485-1373
Mailing address:
  • Phone: 304-485-5185
  • Fax: 304-485-1373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number9895
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: