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Individual
KRISTINE M PARKE
Active
Individual
KRISTINE M PARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20030112
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10012787
LOVELACE
—
01
—
15389
MOLINA
—
05
—
16929781
—
NM
01
—
202019234
PRESBYTERIAN HEALTH PLANS
—
01
—
2362512
UHC
—
01
—
NM002A15
BCBS NM
NM
Enumeration date
10/13/2005
Last updated
02/14/2012
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