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Individual

ALISON JOY ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
10300 W 103RD ST, SUITE 300, OVERLAND PARK, KS 66214-2642
(913) 894-1910
Mailing address
26312 E BLUE MILLS RD, SIBLEY, MO 64088-9624
(816) 650-3005

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
116349
MO
174400000X
Specialist
Primary
14-00812
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116349
STATE LICENSE
MO
01
14-00812
STATE LICENSE
KS
Enumeration date
02/26/2007
Last updated
07/08/2007
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