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NPI Code Detail

MEDICARE: DR. KENDRICK MCDONALD ADNAN M.D.

MEDICARE: DR. KENDRICK MCDONALD ADNAN M.D.
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
1207Q00000XFamily Medicine Physician32659CO
2207P00000XEmergency Medicine Physician32659CO

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 : 1811090103
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENDRICK MCDONALD ADNAN M.D.
Provider Business Mailing Address
First Line : PO BOX 842578
Second Line :
City : KANSAS CITY
State : MO
Zip : 64184-2578
Country : US
Telephone Number : 970-926-6350
Fax Number : 970-926-6348
Provider Business Practice Location Address
First Line : 50 BUCK CREEK RD STE 100
Second Line :
City : AVON
State : CO
Zip : 81620-5428
Country : US
Telephone Number : 970-926-6340
Fax Number : 970-926-6348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 09/11/2025

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