Individual
MARSHA M ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1000 S 12TH ST, MURRAY, KY 42071-9303
(270) 759-9200
(270) 759-9966
Mailing address
1000 S 12TH ST, MURRAY, KY 42071-9303
(270) 759-9200
(270) 759-9966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA165
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000307762
ANTHEM PROVIDER NUMBER
KY
05
—
9500411500
—
KY
Enumeration date
11/17/2005
Last updated
10/16/2015
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