Individual
DR. KENNETH PAUL ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2395 LOUPIN DR APT 51B, CLARKSVILLE, TN 37042-7570
(210) 374-5002
Mailing address
2395 LOUPIN DR APT 51B, CLARKSVILLE, TN 37042-7570
(210) 374-5002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34618
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2182644-03
—
TX
01
—
34618
LICENSE
TX
Enumeration date
11/05/2010
Last updated
09/18/2023
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