Provider Demographics
NPI:1558019737
Name:ADKINS, RALPH JAMES
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:JAMES
Last Name:ADKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1423 COPPERAS FORK RD.
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:WV
Mailing Address - Zip Code:25625
Mailing Address - Country:US
Mailing Address - Phone:304-546-1516
Mailing Address - Fax:
Practice Address - Street 1:1423 COPPERAS FORK RD.
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:WV
Practice Address - Zip Code:25625
Practice Address - Country:US
Practice Address - Phone:304-546-1516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant