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General NPI Number Information
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NPI Number | 1205148947
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Entity Type | Individual
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Provider Name | KASIE KUDREWICZ ADKINS D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2010
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 5817 HAPPY HOLLOW RD
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City | MILFORD
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State | OH
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Zip | 45150
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Country | US
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Telephone | 513-327-9244
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Fax | 513-323-5201
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Provider Business Mailing Address
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Address Line | 111 NEW HAMPSHIRE AVE STE 2
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City | PORTSMOUTH
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State | NH
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Zip | 03801-2864
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 34.011879
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 34.011879
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License Number State | OH
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