NPI 1477265098

Kobra Adams

Practitioner Other Technician Harrisburg, IL

Practice location

Address: 608 Rollie Moore Dr, Harrisburg, IL 62946-2351
Phone: (618) 252-6150

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Illinois →

Registry record

NPI: 1477265098
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2022
Record last updated: 14 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.