Provider Demographics
NPI:1043277312
Name:ADAMSON, KENT R (MD)
Entity type:Individual
Prefix:
First Name:KENT
Middle Name:R
Last Name:ADAMSON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:26401 CROWN VALLEY PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6302
Mailing Address - Country:US
Mailing Address - Phone:949-348-4000
Mailing Address - Fax:949-348-4090
Practice Address - Street 1:26401 CROWN VALLEY PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6302
Practice Address - Country:US
Practice Address - Phone:949-348-4000
Practice Address - Fax:949-348-4090
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
CAG42640207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAA9424540OtherDEA
CAAA9424540OtherDEA
CAWG42640AMedicare PIN