Provider Demographics
NPI:1134836406
Name:ADAMS, ELAINA SELLS (PA-C LAT ATC)
Entity type:Individual
Prefix:
First Name:ELAINA
Middle Name:SELLS
Last Name:ADAMS
Suffix:
Gender:
Credentials:PA-C LAT ATC
Other - Prefix:
Other - First Name:ELAINA
Other - Middle Name:ANITA
Other - Last Name:SELLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9618 NE 97TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64157-6243
Mailing Address - Country:US
Mailing Address - Phone:660-998-2626
Mailing Address - Fax:
Practice Address - Street 1:1 S KEENE ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-7199
Practice Address - Country:US
Practice Address - Phone:573-443-2402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-04
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant