Adams, Brenton S.

Adams, Brenton S. is an individual health care provider with primary practice located at 4423 Bardstown Rd , Louisville KY 40218-3235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Adams, Brenton S. can be contacted via phone (502) 495-2400.

Contact Information

Primary practice address
4423 Bardstown Rd Louisville KY 40218-3235
Phone: (502) 495-2400
Fax: (502) 499-6306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16195 Kentucky

Profile Details

NPI number 1699725762
LBN Legal business name Adams, Brenton S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Nov 16th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699725762 NPPES
Kentucky MEDICAID 64161953

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