Adams, Kenneth B

Adams, Kenneth B is an individual health care provider with primary practice located at 621 S New Ballas Rd Ste 3005B , Saint Louis MO 63141-8266. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Adams, Kenneth B can be contacted via phone (314) 567-5850.

Contact Information

Primary practice address
621 S New Ballas Rd Ste 3005B Saint Louis MO 63141-8266
Phone: (314) 567-5850
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2020040966 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10002325A Indiana

Profile Details

NPI number 1851801823
LBN Legal business name Adams, Kenneth B
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2017
Last updated May 26th, 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 1851801823 NPPES
Indiana MEDICAID 300011444

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