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Kaka Leigh Adams

Student in an Organized Health Care Education/Training Program

Student, Health Care

3601 4th St Ttuhsc Dept-Pediatrics, Lubbock, TX 79430-0001

PECOS Enrollment

This provider is enrolled in PECOS as KAKA ADAMS.

Based on the most recent information from CMS, provider Kaka Leigh Adams is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1942824214
Provider Type
Individual
Full Name
Adams, Kaka Leigh
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/3/2020
Last Updated
6/3/2020

Contact Information

Practice Location

3601 4th St Ttuhsc Dept-Pediatrics, Lubbock, TX 79430-0001

(806) 743-6630

Unlisted Fax

Mailing Location

3601 4th St Ttuhsc Dept-Pediatrics, Lubbock, TX 79430-0001

(806) 743-6630

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer Texas

Kaka Leigh Adams

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Code

Description

License

Code

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