Individual
DR. CHRISTOPHER SAMUEL ADLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 MEDICAL VILLAGE DR, STE 102, EDGEWOOD, KY 41017-5401
(859) 341-1011
(859) 341-7198
Mailing address
20 MEDICAL VILLAGE DR, STE 102, EDGEWOOD, KY 41017-5401
(859) 341-1011
(859) 341-7198
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32000
KY
208000000X
Pediatrics Physician
35074257
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000068642
ANTHEM
—
01
—
1201899
UNITED HEALTH CARE
OH
01
—
2196692
AETNA
—
05
—
64230006
—
KY
Enumeration date
02/09/2006
Last updated
07/08/2007
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