Individual
KENNETH R ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0235
(252) 937-3103
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056
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
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