Individual
DR. KENNETH A ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD103273
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160021081
MEDICARE RR
MS
01
—
19545016
BCBS
MO
Enumeration date
06/01/2005
Last updated
03/11/2021
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