Kenneth Adams III, PA-C

Individual provider Active NPI Medical Physician Assistant · Concord, NH

NPI 1154340677 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1154340677
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
0006 (NH)
Practice address
253 Pleasant St
Concord, NH 03301-7560
Phone
(603) 226-6108
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
CH DHC Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0006 NH Yes

Addresses

Primary practice location

253 Pleasant St
Concord, NH 03301-7560

Mailing address

253 Pleasant St
Concord, NH 03301-7560
Phone (603) 226-6108

Other identifiers

IdentifierTypeStateIssuer
30009677MedicaidNH

Other providers in Concord, NH

All providers in Concord, NH · Medical Physician Assistant in New Hampshire

Sources for this page

Verify at the official NPI Registry.