| Provider / Organization | NPI | Date Certified |
|---|---|---|
| WALTER DAWKINS | 1700479466 | 2021-02-13 |
Walter Dawkins is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700479466. Registration indicates Walter Dawkins is a provider of services with a specialization in Other Service Providers, Community Health Worker (Community Health Worker, ) (Community Health Worker, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Walter Dawkins |
| Practice Office Address | 1700 KEMP AVE CHARLESTON, WV US |
| Practice Office Telephone | 3046106378 |
| Mailing Address | 1700 KEMP AVE CHARLESTON, WV 253871923 US |
| Code | Practice | License No State |
|---|---|---|
| 172V00000X PRIMARY | Other Service Providers Community Health Worker Community Health Worker Community Health Worker Other Service Providers |