Provider Demographics
NPI:1942811864
Name:ADKINS, SANDRA GAYLE
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:GAYLE
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:PO BOX 114
Mailing Address - Street 2:
Mailing Address - City:BELFRY
Mailing Address - State:KY
Mailing Address - Zip Code:41514-0114
Mailing Address - Country:US
Mailing Address - Phone:606-353-7306
Mailing Address - Fax:
Practice Address - Street 1:215 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:HUDDY
Practice Address - State:KY
Practice Address - Zip Code:41535
Practice Address - Country:US
Practice Address - Phone:606-353-7306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant