Individual
KERRY J PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN179497
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN17904
TN
Other
Enumeration date
08/05/2013
Last updated
09/23/2013
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