Healthcare Provider Details

I. General information

NPI: 1821314733
Provider Name (Legal Business Name): KRISTIN HOLLY ADAMS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2010
Last Update Date: 04/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1417 N. MAIN ST.
JAMESTOWN KY
42629
US

IV. Provider business mailing address

PO BOX 499
JAMESTOWN KY
42629-0499
US

V. Phone/Fax

Practice location:
  • Phone: 270-343-4443
  • Fax: 270-343-4481
Mailing address:
  • Phone: 270-343-4443
  • Fax: 270-343-4481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number014169
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: