Organization
COLORECTAL CARE OF NORTHERN KY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN R ADAMS MD (PRESIDENT)
(859) 341-9659
Entity
Organization
Contact information
Practice address
2865 CHANCELLOR DR, STE 215, CRESTVIEW HILLS, KY 41017-3912
(859) 341-9659
(859) 341-9659
Mailing address
PO BOX 272, BURLINGTON, KY 41005-0272
(513) 891-2813
(513) 891-1039
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200927190A
—
IN
05
—
2948949
—
OH
01
—
DD6452
RAILROAD MEDICARE
OH
Enumeration date
05/24/2005
Last updated
08/11/2009
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