Adley, Christopher Samuel

Adley, Christopher Samuel is an individual health care provider with primary practice located at 20 Medical Village Dr Ste 102, Edgewood KY 41017-5401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Adley, Christopher Samuel can be contacted via phone (859) 341-1011.

Contact Information

Primary practice address
20 Medical Village Dr Ste 102 Edgewood KY 41017-5401
Phone: (859) 341-1011
Fax: (859) 341-7198
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32000 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35074257 Ohio

Profile Details

NPI number 1679546725
LBN Legal business name Adley, Christopher Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1679546725 NPPES
Other 2196692 AETNA
Other 000000068642 AETNA
Other 1201899 AETNA
MEDICAID 64230006 AETNA

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