MEDICARE: CHAVONNA ADAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)		KS

General Provider Information

NPI Number	:	1023833266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAVONNA ADAMS

Provider Business Mailing Address
First Line	:	127 W 10TH ST APT 805
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64105-1870
Country	:	US
Telephone Number	:	816-325-3506
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 W 10TH ST APT 805
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64105-1870
Country	:	US
Telephone Number	:	816-325-3506
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2024
Last Update Date	:	11/24/2024

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Directions to “ CHAVONNA ADAMS ” Practice Location

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