Kayla Roxanne Adams, NP
Nurse Practitioner, Family in Charleston, WV. Individual provider (NPI-1).
NPI number1366026965
StatusActive
Last updated in NPPESApr 4, 2022
Details
- NPI
- 1366026965
- Entity type
- Individual (NPI-1)
- Name
- Kayla Roxanne Adams
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2021
- Certification date
- Apr 4, 2022
- Last updated
- Apr 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 109028 | WV | Yes |
| 163W00000X | Registered Nurse | 109028 | WV | |
| 163W00000X | Registered Nurse | 407847 | OH | |
| 363LF0000X | Nurse Practitioner, Family | 0028668 | OH |
Practice location
501 Morris StCharleston, WV 25301-1326
Phone 304-388-6004 · Fax 304-388-3360
Mailing address
501 Morris StCharleston, WV 25301-1326
Phone 304-388-6004 · Fax 304-388-3360
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