Individual
KENNETH PAUL ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7593 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33437-6154
(954) 925-2740
(954) 212-0494
Mailing address
12412 PRISTINE COURT NORTHEAST, ALBUQUERQUE, NM 87122-4315
(505) 242-3330
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A-1439-08
NM
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
DR.0054870
CO
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
OS19414
FL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
T7469
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32035837
—
NM
Enumeration date
04/23/2007
Last updated
02/02/2023
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