Provider Demographics
NPI:1700573615
Name:FIELDS, ADAM RAY (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:RAY
Last Name:FIELDS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 BIG BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:VIPER
Mailing Address - State:KY
Mailing Address - Zip Code:41774-8506
Mailing Address - Country:US
Mailing Address - Phone:606-233-2131
Mailing Address - Fax:
Practice Address - Street 1:148 TAYLOR RIDGE RD
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-6659
Practice Address - Country:US
Practice Address - Phone:606-487-8255
Practice Address - Fax:606-487-8433
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY284399111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor