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Individual
KELLY PARKS
Active
Individual
KELLY PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5531
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E5531
CA
213ES0131X
Foot Surgery Podiatrist
E5531
CA
Other
Enumeration date
07/08/2016
Last updated
06/05/2024
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