Individual provider · Type 1 NPI
Kenneth Adams, PA-C
Medical Physician Assistant · Chillicothe, IL
NPI number
1255351276
Active
Practice location
525 Sweetbriar Dr
Chillicothe, IL 61523
Mailing address
5100 Reliable Pkwy
Chicago, IL 60686-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 036071354 (IL) |
Medical Physician Assistant: Definition to come...
About NPI 1255351276
Kenneth Adams, PA-C's National Provider Identifier is 1255351276, issued on Jul 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chillicothe, IL. The record was last updated on Oct 29, 2009.