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Organization
PARKS HOSPITAL MEDICINE LLC
Active
Organization
PARKS HOSPITAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH SCOTT PARKS MD (OWNER)
(337) 684-2299
Entity
Organization
Contact information
Practice address
539 E PRUDHOMME ST, OPELOUSAS, LA 70570-6499
(337) 948-3011
Mailing address
174 RED OAK RD, VILLE PLATTE, LA 70586-1984
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
019463
LA
Other
Enumeration date
12/09/2010
Last updated
02/01/2011
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