Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 3014276 | KY |
NPI | 1295361426 |
---|---|
Provider Name | Mrs. Patricia Lynn Adams |
First Address | Pikeville, KY 41501-2800 |
Second Address | Elkhorn City, KY 41522-8510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2020 |
Last Update Date | 19/03/2020 |