Provider Demographics
NPI:1679082788
Name:ADKINS, JAMIE
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:
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 1:3117 ALVEY PARK DR W
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-2139
Mailing Address - Country:US
Mailing Address - Phone:270-683-9992
Mailing Address - Fax:270-683-9993
Practice Address - Street 1:3117 ALVEY PARK DR W
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-2139
Practice Address - Country:US
Practice Address - Phone:270-683-9992
Practice Address - Fax:270-683-9993
Is Sole Proprietor?:No
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY174638225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist