Provider Demographics
NPI:1134167588
Name:PAONI, ADAM S (DO)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:S
Last Name:PAONI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:302 N HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:KS
Mailing Address - Zip Code:66743-2000
Mailing Address - Country:US
Mailing Address - Phone:620-724-5152
Mailing Address - Fax:620-724-6332
Practice Address - Street 1:307 N HOSPITAL DR
Practice Address - Street 2:SUITE 5
Practice Address - City:GIRARD
Practice Address - State:KS
Practice Address - Zip Code:66743-2014
Practice Address - Country:US
Practice Address - Phone:620-724-4659
Practice Address - Fax:620-724-6955
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2013-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS05-24540207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E46233Medicare UPIN