Individual
DR. KATHLEEN A ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
850 STATLER BLVD, STE 110, STAUNTON, VA 24401-4885
(540) 887-3304
Mailing address
113 CRESTWOOD DR, CHURCHVILLE, VA 24421-2315
(540) 885-8670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7680
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107068
ANTHEM PROVIDER NUMBER
VA
Enumeration date
07/25/2006
Last updated
07/08/2007
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