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NPI Code Detail

MEDICARE: KENNETH RAY ADKISON

MEDICARE: KENNETH RAY ADKISON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist9294508FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255870978
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH RAY ADKISON
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-532-0002
Fax Number :
Provider Business Practice Location Address
First Line : 300 PINELLAS ST
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3804
Country : US
Telephone Number : 727-462-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2017
Last Update Date : 02/09/2026

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Directions to “ KENNETH RAY ADKISON ” Practice Location

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