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NPI Code Detail

MEDICARE: DR. KENNETH W ADAMS II M.D.

MEDICARE: DR. KENNETH W ADAMS II M.D.
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
1207P00000XEmergency Medicine Physician15464NV

General Provider Information

NPI Number : 1376868208
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH W ADAMS II M.D.
Provider Business Mailing Address
First Line : 2380 W HORIZON RIDGE PKWY
Second Line : SUITE 110
City : HENDERSON
State : NV
Zip : 89052-5078
Country : US
Telephone Number : 702-823-4255
Fax Number : 702-475-3261
Provider Business Practice Location Address
First Line : 3215 W CHARLESTON BLVD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2182
Country : US
Telephone Number : 702-462-2232
Fax Number : 702-935-7624
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2010
Last Update Date : 10/03/2023

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