MEDICARE: MRS. ALEXANDRIA DANIELLE ADKINS

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
1	172V00000X	Community Health Worker		MO

General Provider Information

NPI Number	:	1790429454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALEXANDRIA DANIELLE ADKINS

Provider Business Mailing Address
First Line	:	6815 MONROE AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64132-1417
Country	:	US
Telephone Number	:	816-325-0737
Fax Number	:

Provider Business Practice Location Address
First Line	:	6815 MONROE AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64132-1417
Country	:	US
Telephone Number	:	816-325-0737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2022
Last Update Date	:	04/27/2022

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Directions to “ MRS. ALEXANDRIA DANIELLE ADKINS ” Practice Location

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