Provider Demographics
NPI:1164161022
Name:ADAMS, KAMRYN NICHOL
Entity Type:Individual
Prefix:
First Name:KAMRYN
Middle Name:NICHOL
Last Name:ADAMS
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 1:88 JORDAN LN
Mailing Address - Street 2:
Mailing Address - City:WHITESBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41858-7188
Mailing Address - Country:US
Mailing Address - Phone:606-634-1099
Mailing Address - Fax:
Practice Address - Street 1:88 JORDAN LN
Practice Address - Street 2:
Practice Address - City:WHITESBURG
Practice Address - State:KY
Practice Address - Zip Code:41858-7188
Practice Address - Country:US
Practice Address - Phone:606-634-1099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program