Individual
CHAD RODERICK ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-NA
Contact information
Practice address
800 ROSE ST, ANESTHESIA DEPARTMENT, LEXINGTON, KY 40536-0001
(859) 257-1000
(859) 323-1080
Mailing address
2333 ALUMNI PARK PLZ, ANESTHESIA DEPARTMENT, LEXINGTON, KY 40517-4012
(859) 257-7910
(859) 257-7988
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1108034
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3007852
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300037985
—
IN
05
—
7100234720
—
KY
Enumeration date
12/19/2012
Last updated
05/14/2020
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