Provider Demographics
NPI:1578794202
Name:ADAMS, KATHY ANN (LMLP)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:ANN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LMLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 746
Mailing Address - Street 2:
Mailing Address - City:FORT SCOTT
Mailing Address - State:KS
Mailing Address - Zip Code:66701-0746
Mailing Address - Country:US
Mailing Address - Phone:620-768-0142
Mailing Address - Fax:620-768-0179
Practice Address - Street 1:102 S JUDSON ST
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-3241
Practice Address - Country:US
Practice Address - Phone:620-768-0142
Practice Address - Fax:620-768-0179
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMLP 0166253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency