Individual
KENT L ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12855 N 40 DR, SUITE 230, SAINT LOUIS, MO 63141-8657
(314) 576-3532
(314) 878-5548
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 576-3532
(314) 878-5548
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2003026270
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00199697
PALMETTO RR MEDICARE
MO
Enumeration date
05/03/2006
Last updated
06/14/2013
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