Individual
SAVANNAH JAYDE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 23RD ST STE 520, ASHLAND, KY 41101-2878
(606) 326-1675
(606) 326-1436
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2721
KY
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100708050
—
KY
Enumeration date
07/20/2020
Last updated
08/08/2024
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