Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 00286 | KY |
Y | 222Z00000X | Podiatrist | 00286 | KY |
N | 213EP1101X | Primary Podiatric Medicine | 00286 | KY |
N | 111NR0200X | Radiology | 00286 | KY |
N | 213ER0200X | Radiology | 00286 | KY |
N | 213ES0103X | Foot & Ankle Surgery | 286 | KY |
N | 213ES0131X | Foot Surgery | 00286 | KY |
NPI | 1841298643 |
---|---|
Provider Name | Dr. Heiko B Adams |
First Address | Shelbyville, KY 40065-1711 |
Second Address | Shelbyville, KY 40065-1711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 04/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
80000342 | (05) | KY |
U95045 | (02) | KY |