Individual
KYLE EDWARD PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6338
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05178
KS
225100000X
Physical Therapist
PT017070
PA
Other
Enumeration date
05/08/2007
Last updated
01/30/2023
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