# MR. KIRK D PARRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750671699
- **Gender:** Man
- **Credential:** B.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | WY | Yes |
| 172V00000X | Community Health Worker | — | WY | — |

## Other

- **Enumeration date:** 04/12/2011
- **Last updated:** 03/23/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 130822000 | — | WY |