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Individual
MR. KIRK D PARRY
Active
Individual
MR. KIRK D PARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WY
172V00000X
Community Health Worker
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130822000
—
WY
Enumeration date
04/12/2011
Last updated
03/23/2016
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