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Individual

MR. TIMOTHY J. ADAMS

Active
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Individual

MR. TIMOTHY J. ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2255A
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2708012
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000281877
ANTHEM
KY
05
—
001530500
—
FL
01
—
2255A
ARNP CERT
KY
Enumeration date
10/02/2006
Last updated
03/08/2010
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