Individual
DR. KENNETH R PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2171 ONEAL LN, BATON ROUGE, LA 70816-3206
(225) 751-3755
Mailing address
3932 BEROT ST, METAIRIE, LA 70002-3006
(504) 453-8762
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
701-190T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1163171
—
LA
Enumeration date
01/15/2007
Last updated
07/08/2007
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