Provider Demographics
NPI:1164651345
Name:ADAMS, JOSH A (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSH
Middle Name:A
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5153 US HIGHWAY 68 W
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:KY
Mailing Address - Zip Code:42025-6661
Mailing Address - Country:US
Mailing Address - Phone:270-252-5840
Mailing Address - Fax:
Practice Address - Street 1:112 E 5TH ST
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:KY
Practice Address - Zip Code:42025-1118
Practice Address - Country:US
Practice Address - Phone:270-252-5840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2009-07-29
Deactivation Date:2009-07-15
Deactivation Code:
Reactivation Date:2009-07-22
Provider Licenses
StateLicense IDTaxonomies
KY5194111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor