Individual
DR. PATRICIA KIELEY ADKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
613 COOK STREET, ROYSTON, GA 30662
(706) 245-1867
(706) 245-1854
Mailing address
190 PAUL BRYANT RD, ROYSTON, GA 30662-1965
(706) 245-1047
(706) 245-1854
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY002409
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10049164
AMERIGROUP PROVIDERNUMBER
GA
Enumeration date
01/02/2007
Last updated
07/09/2007
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