Healthcare Provider Details

I. General information

NPI: 1023205408
Provider Name (Legal Business Name): KATE W. ADKINS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2007
Last Update Date: 10/28/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 W FLORIDA AVE
HEMET CA
92543-3817
US

IV. Provider business mailing address

1515 W FLORIDA AVE
HEMET CA
92543-3817
US

V. Phone/Fax

Practice location:
  • Phone: 951-929-8400
  • Fax: 951-929-8411
Mailing address:
  • Phone: 951-929-8400
  • Fax: 951-929-8411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number57.007959
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberA115769
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: