Individual
KILA A. MACADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6099 RIVERSIDE DR STE 207, DUBLIN, OH 43017-2004
(740) 953-1184
Mailing address
2469 WESTBORNE DR, VERONA, KY 41092-9318
(859) 750-8137
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
KY-R1375
KY
225X00000X
Occupational Therapist
Primary
OT2538
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0950320
MEDICARE
KY
Enumeration date
07/11/2007
Last updated
12/17/2024
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