Individual
KEVIN J PARKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 985-2811
(818) 587-2493
Mailing address
PO BOX 4419, WOODLAND HILLS, CA 91365-4419
(818) 340-9988
(818) 587-2493
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A70865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A708650
BLUE SHIELD
CA
05
—
00A708650
—
CA
01
—
P00176305
RAILROAD MEDICARE
CA
Enumeration date
07/21/2006
Last updated
06/05/2013
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