Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD206682 | OR |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A104255 | CA |
NPI | 1225103831 |
---|---|
Provider Name | Dr. Kerrie Lynn Adams |
First Address | San Diego, CA 92107-6207 |
Second Address | San Diego, CA 92127-5705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 25/01/2022 |