Individual
GEORGE KENNETH ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5172 LEAVITT RD, LORAIN, OH 44053-2162
(440) 282-7420
(440) 282-9855
Mailing address
5334 MEADOW LANE COURT, SHEFFIELD VILLAGE, OH 44035-1469
(440) 282-7411
(440) 282-7419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.001766
OH
207Q00000X
Family Medicine Physician
34001766
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01644567
—
OH
05
—
0164567
—
OH
Enumeration date
07/18/2006
Last updated
02/05/2010
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