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NPI Code Detail

MEDICARE: KENDALL TOUPS ADRIAN OD

MEDICARE:   KENDALL TOUPS ADRIAN  OD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1649113218
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDALL TOUPS ADRIAN OD
Provider Business Mailing Address
First Line : 702 CAROL ST
Second Line :
City : GANADO
State : TX
Zip : 77962-8686
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1540 SPRING VALLEY DR
Second Line :
City : HUNTINGTON
State : WV
Zip : 25704-9501
Country : US
Telephone Number : 304-429-6741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “ KENDALL TOUPS ADRIAN OD” Practice Location

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