Adams, Kelly Kristen

Adams, Kelly Kristen is an individual health care provider with primary practice located at 4686 W Crosswater Road , South Jordon UT 84009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Adams, Kelly Kristen can be contacted via phone (470) 272-4754.

Contact Information

Primary practice address
4686 W Crosswater Road South Jordon UT 84009
Fax: (855) 952-1975
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 068091 Georgia

Profile Details

NPI number 1013138254
LBN Legal business name Adams, Kelly Kristen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Apr 24th, 2020 - about 4 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 1013138254 NPPES
Georgia MEDICAID 003126035A

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