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Individual

KENNETH R ADAMS

Active
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Individual

KENNETH R ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9700170
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10343
BCBSNC
NC
01
110134039
RAILROAD MEDICARE
NC
01
4479932
CIGNA HEALTHCARE
NC
01
71753
MEDCOST
NC
05
8910343
NC
Enumeration date
06/10/2005
Last updated
02/15/2019
Update your record

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