Adams, Kenneth Vaughn
Adams, Kenneth Vaughn is an individual health care provider with primary practice located at 14534 Old Saint Augustine Rd Ste 3420 , Jacksonville FL 32258-2616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Adams, Kenneth Vaughn can be contacted via phone (904) 493-8001.Contact Information
Primary practice address
14534 Old Saint Augustine Rd Ste 3420
Jacksonville FL 32258-2616
Phone: (904) 493-8001
Fax: (904) 338-0852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME42068 | Florida |
Profile Details
| NPI number | 1881696284 |
|---|---|
| LBN Legal business name | Adams, Kenneth Vaughn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Nov 1st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881696284 | NPPES |
| Florida | Other | 110086217 | RR MEDICARE |
| Florida | MEDICAID | 052984200 | RR MEDICARE |
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