NPI | 1982126934 |
---|---|
Professional Name | KYLE EDWARD ADAMS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: MA PA7179) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 3873) |
363A00000X Physician Assistant (Licence: NY 021211) | |
Enumeration Date | 2017-07-12 |
Last Update Date | 2022-07-21 |