Individual provider · NPI-1

Brenton S. Adams, M.D.

Family Medicine · Louisville, KY

NPI number1699725762
StatusActive
Last updated in NPPESNov 16, 2010

Details

NPI
1699725762
Entity type
Individual (NPI-1)
Name
Brenton S. Adams
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 11, 2006
Last updated
Nov 16, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine16195KYYes

Practice location

4423 Bardstown Rd
Louisville, KY 40218-3235

Phone 502-495-2400 · Fax 502-499-6306

Mailing address

6801 Dixie Hwy
Ste 130
Louisville, KY 40258-3913

Phone 502-495-2400 · Fax 502-499-6306

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