| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ADAM KYLE TAFT | 1629500194 | 2022-07-14 |
Adam Kyle Taft is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1629500194. Registration indicates Adam Kyle Taft is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Anesthesiology (Anesthesiology, ) (All Other Specialties & Provider Types, ) (Anesthesiology, Allopathic & Osteopathic Physicians) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Adam Kyle Taft MD |
| Practice Office Address | 22 BRAMHALL ST. MAINE MEDICAL CENTER DEPARTMENT OF ANESTHESIOLOGY PORTLAND, ME US |
| Practice Office Telephone | 2076620111 |
| Mailing Address | 1200 E 3900 S MILLCREEK, UT 841241300 US |
| Business Telephone | 8012687111 |
| Code | Practice | License No State |
|---|---|---|
| 207L00000X PRIMARY | Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology All Other Specialties & Provider Types Anesthesiology Allopathic & Osteopathic Physicians | 12818168-1205
UT |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |