Individual
MR. KENNETH K ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1311 W PRESIDENT GEORGE BUSH HWY, RICHARDSON, TX 75080-1153
(214) 345-7456
(214) 345-4152
Mailing address
PO BOX 720999, DALLAS, TX 75372-0999
(817) 284-9850
(817) 284-3425
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
K5441
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092464901
—
TX
Enumeration date
04/28/2006
Last updated
10/17/2023
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