Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 100814 | MO |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 100814 | MO |
NPI | 1730135500 |
---|---|
Provider Name | Charlene Adkins |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65212-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 01/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
208116418 | (05) | MO |
281759 | HEALTHLINK (01) | MO |
F04669 | (02) | MO |