Provider Demographics
NPI:1487314126
Name:ADAMS, APRIL LAVON
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:LAVON
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4635 CRAFT COLLY RD
Mailing Address - Street 2:
Mailing Address - City:ERMINE
Mailing Address - State:KY
Mailing Address - Zip Code:41815-9046
Mailing Address - Country:US
Mailing Address - Phone:606-634-1467
Mailing Address - Fax:
Practice Address - Street 1:19101 N US HIGHWAY 119
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:KY
Practice Address - Zip Code:40823-8107
Practice Address - Country:US
Practice Address - Phone:606-589-5421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYA03851225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant