Healthcare Provider Details

I. General information

NPI: 1922760073
Provider Name (Legal Business Name): ROBERT WILLIAM ADAMS MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 11/18/2023
Certification Date: 11/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 HOSPITAL DR
MADISONVILLE KY
42431-1644
US

IV. Provider business mailing address

10470 TRAVIS ST
WALTON KY
41094-9726
US

V. Phone/Fax

Practice location:
  • Phone: 270-825-5100
  • Fax:
Mailing address:
  • Phone: 905-869-8418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number55666
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number55666
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: