Adams, Kenneth A

Adams, Kenneth A is an individual health care provider with primary practice located at 2925 Chicago Ave , Minneapolis MN 55407-1321. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Adams, Kenneth A can be contacted via phone (612) 262-4000.

Contact Information

Primary practice address
2925 Chicago Ave Minneapolis MN 55407-1321
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD103273 Missouri

Profile Details

NPI number 1528060886
LBN Legal business name Adams, Kenneth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 11th, 2021 - about 3 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 1528060886 NPPES
Mississippi Other 160021081 MEDICARE RR
Mississippi Other 19545016 MEDICARE RR

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