Provider Demographics
NPI:1093384232
Name:ADKINS, KEISHA LYNN
Entity Type:Individual
Prefix:
First Name:KEISHA
Middle Name:LYNN
Last Name:ADKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 SEARLS DR
Mailing Address - Street 2:
Mailing Address - City:ALKOL
Mailing Address - State:WV
Mailing Address - Zip Code:25501-9420
Mailing Address - Country:US
Mailing Address - Phone:304-767-9596
Mailing Address - Fax:
Practice Address - Street 1:49 SEARLS DR
Practice Address - Street 2:
Practice Address - City:ALKOL
Practice Address - State:WV
Practice Address - Zip Code:25501-9420
Practice Address - Country:US
Practice Address - Phone:304-767-9596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant