Individual
DR. KELLY KRISTEN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4686 W CROSSWATER ROAD, SOUTH JORDON, UT 84009
(470) 272-4754
(855) 952-1975
Mailing address
4686 W CROSSWATER ROAD, SOUTH JORDON, UT 84009
(470) 272-4754
(855) 952-1975
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
068091
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126035A
—
GA
Enumeration date
05/02/2007
Last updated
04/24/2020
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