Individual
JESSE E ADAMS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3900 KRESGE WAY, SUITE 60, LOUISVILLE, KY 40207-4660
(502) 893-7710
(502) 893-1884
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01044036A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
31496
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060033054
RAILROAD MEDICARE
KY
01
—
060057273
RAILROAD MEDICARE
KY
05
—
200047430
—
IN
05
—
64314966
—
KY
Enumeration date
10/06/2005
Last updated
12/10/2020
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