Provider Demographics
NPI:1083035000
Name:HENRY G. ADKINS, M. D., P. S. C.
Entity Type:Organization
Organization Name:HENRY G. ADKINS, M. D., P. S. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:G
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-474-7808
Mailing Address - Street 1:PO BOX 517
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:KY
Mailing Address - Zip Code:41143-0517
Mailing Address - Country:US
Mailing Address - Phone:606-474-7808
Mailing Address - Fax:606-474-4654
Practice Address - Street 1:105 STATE HIGHWAY 1947
Practice Address - Street 2:SUITE B
Practice Address - City:GRAYSON
Practice Address - State:KY
Practice Address - Zip Code:41143-6825
Practice Address - Country:US
Practice Address - Phone:606-474-7808
Practice Address - Fax:606-474-4654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY26646207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1491101Medicare PIN
64266463Medicare PIN