Provider Demographics
NPI:1629332002
Name:ADAMS, NATALIE S (DO)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:S
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:SONDERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2156 CHAMBER CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LAKESIDE PARK
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1669
Mailing Address - Country:US
Mailing Address - Phone:859-282-6700
Mailing Address - Fax:859-282-6760
Practice Address - Street 1:2156 CHAMBER CENTER DR
Practice Address - Street 2:
Practice Address - City:LAKESIDE PARK
Practice Address - State:KY
Practice Address - Zip Code:41017-1669
Practice Address - Country:US
Practice Address - Phone:859-282-6700
Practice Address - Fax:859-282-6760
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.017682207V00000X
KY03965207V00000X
IN02005767A207V00000X
FLOS18984207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100418470Medicaid
IN300029091Medicaid