Organization
KENNETH P. ADAMS, D.O.,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNTH P ADAMS D.O. (SOLEOWNER/OPHTHALMOLOGIST)
(505) 822-1352
Entity
Organization
Contact information
Practice address
12412 PRISTINE COURT NORTHEAST, ALBUQUERQUE, NM 87122-4315
(505) 242-3330
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
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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