Adams, Kenneth Paul

Adams, Kenneth Paul is an individual health care provider with primary practice located at 2395 Loupin Dr Apt 51B , Clarksville TN 37042-7570. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Adams, Kenneth Paul can be contacted via phone (210) 374-5002.

Contact Information

Primary practice address
2395 Loupin Dr Apt 51B Clarksville TN 37042-7570
Phone: (210) 374-5002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 34618 Texas

Profile Details

NPI number 1295036333
LBN Legal business name Adams, Kenneth Paul
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2010
Last updated Sep 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295036333 NPPES
Texas MEDICAID 2182644-03
Texas Other 34618

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