Individual
MR. KENNETH A ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 342-5432
(918) 342-0835
Mailing address
2619 GEORGIA AVE, MUSKOGEE, OK 74403-7670
(918) 682-4085
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA376
OK
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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