Provider Demographics
NPI:1194829846
Name:ADAMS, DAVID KURT (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KURT
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 1:692 TETON TRL
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-1766
Mailing Address - Country:US
Mailing Address - Phone:502-875-1127
Mailing Address - Fax:502-875-4811
Practice Address - Street 1:692 TETON TRL
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-1766
Practice Address - Country:US
Practice Address - Phone:502-875-1127
Practice Address - Fax:502-875-4811
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3887111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
00000049055OtherANTHEM BLUE CROSS ID
KY16308362OtherLABCORP ACCOUNT NUMBER
KY85000545Medicaid
KY85000545Medicaid