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1013138254 NPI number — KELLY KRISTEN ADAMS MD

NPI Number: 1013138254
Health Care Provider/Practitioner: KELLY KRISTEN ADAMS MD

Information about “1013138254” NPI (KELLY KRISTEN ADAMS MD) exists in 1013138254 in HTML format HTML  |  1013138254 in plain Text format TXT  |  1013138254 in PDF (Portable Document Format) PDF  |  1013138254 in an XML format XML  formats.

NPI Number : 1013138254 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013138254",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ADAMS",
    "FirstName": "KELLY",
    "MiddleName": "KRISTEN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PLOTT",
    "OtherFirstName": "KELLY",
    "OtherMiddleName": "KRISTEN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4686 W CROSSWATER ROAD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTH JORDON",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84009",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "470-272-4754",
    "MailingAddressFaxNumber": "855-952-1975",
    "FirstLinePracticeLocationAddress": "4686 W CROSSWATER ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTH JORDON",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84009",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "470-272-4754",
    "PracticeLocationAddressFaxNumber": "855-952-1975",
    "EnumerationDate": "05/02/2007",
    "LastUpdateDate": "04/24/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2080N0001X",
        "TaxonomyName": "Neonatal-Perinatal Medicine Physician",
        "LicenseNumber": "068091",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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