Provider Demographics
NPI:1013015106
Name:ADAMS, ALLEN G (MD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:G
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:920 MAIN ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64105-2017
Mailing Address - Country:US
Mailing Address - Phone:816-559-6331
Mailing Address - Fax:816-559-6394
Practice Address - Street 1:904 EDMOND ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64501-2702
Practice Address - Country:US
Practice Address - Phone:816-233-7702
Practice Address - Fax:816-364-2460
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR6B34207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201831138Medicaid
MOA10505Medicare UPIN
MO201831138Medicaid