Individual
KEVIN MARTIN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
308 SO 12TH ST, MURRAY, KY 42071
(270) 759-2500
(270) 759-8515
Mailing address
308 SO 12TH ST, MURRAY, KY 42071
(270) 759-2500
(270) 759-8515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1157DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77011575
—
KY
Enumeration date
12/05/2006
Last updated
03/09/2010
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