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NPI Code Detail

MEDICARE: KIMBERLY A ADAMS MD PC

MEDICARE: KIMBERLY A ADAMS MD PC
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
1363AM0700XMedical Physician Assistant
2363LF0000XFamily Nurse Practitioner
3207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1336452119
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIMBERLY A ADAMS MD PC
Provider Business Mailing Address
First Line : 10300 W CHARLESTON BLVD STE 13
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-5008
Country : US
Telephone Number : 719-941-1400
Fax Number : 702-982-8542
Provider Business Practice Location Address
First Line : 5225 S DURANGO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-0137
Country : US
Telephone Number : 719-941-1400
Fax Number : 702-253-0009
Authorized Official
Title or Position : PROVIDER
Name : KIMBERLY A ADAMS
Credential :
Telephone Number : 719-941-1400
Provider Enumeration Date : 07/21/2010
Last Update Date : 01/16/2026

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