Healthcare Provider Details

I. General information

NPI: 1669543534
Provider Name (Legal Business Name): PAMELA V ADKINS MS,CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 11/12/2020
Certification Date: 11/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

#3 STONECREST DR
HUNTINGTON WV
25701
US

IV. Provider business mailing address

2585 3RD AVE
HUNTINGTON WV
25703-1642
US

V. Phone/Fax

Practice location:
  • Phone: 304-522-6388
  • Fax: 304-522-8040
Mailing address:
  • Phone: 304-697-1396
  • Fax: 304-697-2086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA0045
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: