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Contact Information

KENNETH V ADAMS, MD
14534 OLD SAINT AUGUSTINE RD STE 3420
JACKSONVILLE, FL32258-2616
 Phone: 904-493-8001
 Fax: 904-338-0852
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KENNETH V ADAMS · (Male)

NPI Number 1881696284
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2005
Last updated 11/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME42068
  • FL Medicaid 052984200
  • FL Other 110086217 RR MEDICARE
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER - (Acute Care)
    800 PRUDENTIAL DR
    JACKSONVILLE, FL 32207
  • BAPTIST MEDICAL CENTER BEACHES - (Acute Care)
    1350 13TH AVE S
    JACKSONVILLE BEACH, FL 32250
  • ST VINCENT'S MEDICAL CENTER - (Acute Care)
    1 SHIRCLIFF WAY
    JACKSONVILLE, FL 32204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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