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Contact Information

KENNETH ADAMS, PA-C
525 SWEETBRIAR DR
CHILLICOTHE, IL61523
 Phone: 309-274-2102
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KENNETH ADAMS · (Male)

NPI # 1255351276
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/20/2006
Last updated 10/29/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036071354
  • IL Medicaid 0360713543
  • IL Other 7215059 BCBS PPO
  • IL Other 008863 HEALTH ALLIANCE
  • IL Other 472299 HEALTHLINK
  • IL Other IL01R7 JOHN DEERE
  • IL Other 970016346 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
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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