Adams, Kenneth Vaughn

Adams, Kenneth Vaughn is an individual health care provider with primary practice located at 14534 Old Saint Augustine Rd Ste 3420 , Jacksonville FL 32258-2616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Adams, Kenneth Vaughn can be contacted via phone (904) 493-8001.

Contact Information

Primary practice address
14534 Old Saint Augustine Rd Ste 3420 Jacksonville FL 32258-2616
Fax: (904) 338-0852
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME42068 Florida

Profile Details

NPI number 1881696284
LBN Legal business name Adams, Kenneth Vaughn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Nov 1st, 2022 - 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 1881696284 NPPES
Florida Other 110086217 RR MEDICARE
Florida MEDICAID 052984200 RR MEDICARE

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