Individual
DR. KEVIN T PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1719 W GRAND RIVER AVE, OKEMOS, MI 48864-1803
(517) 381-9730
(517) 381-9735
Mailing address
1719 W GRAND RIVER AVE, OKEMOS, MI 48864-1803
(517) 381-9730
(517) 381-9735
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2301008073
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C35089
BCBSM PROVIDER NUMBER
MI
01
—
1004890
MCLAREN HEALTH PLAN
MI
01
—
200000002510
PHYSICANS HEALTH PLAN
MI
Enumeration date
04/05/2006
Last updated
11/20/2007
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