Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth B Adams, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1851801823

Kenneth B Adams, PHYSICIANASSISTANT is a Physician Assistant in Saint Louis, Missouri. Works from 3 locations. Licensed in Indiana and Missouri.

Licensed in
IN, MO
In the registry since
2017
Specialties on file
2

Practice location Address checks out

621 S New Ballas Rd Ste 3005B
Saint Louis, MO 63141-8266
Phone: (314) 567-5850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 801 Macarthur Blvd Ste 301, Munster, IN 46321-2920 — (219) 836-1060
  • 6375 Us Highway 64, Portage, IN 46368-5218 — (219) 945-4488

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2020040966 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 10002325A (IN)

Record details

NPI number1851801823
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 4, 2017
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

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