MEDICARE: KYLE 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	286500000X	Military Hospital	133705	KS

General Provider Information

NPI Number	:	1629434386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLE ADAMS

Provider Business Mailing Address
First Line	:	14 S 17TH ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-4926
Country	:	US
Telephone Number	:	580-763-7360
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 S 17TH ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-4926
Country	:	US
Telephone Number	:	580-763-7360
Fax Number	:

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

Provider Enumeration Date	:	01/12/2016
Last Update Date	:	01/12/2016

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Directions to “ KYLE ADAMS ” Practice Location

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