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Individual

DR. RICHARD LEE PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1213 PARIS ROAD, MAYFIELD, KY 42066
(270) 247-8940
(270) 247-8916
Mailing address
1213 PARIS ROAD, MAYFIELD, KY 42066
(270) 247-8940
(270) 247-8916

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3958
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000049331
BC/BS
KY
01
61-1170310
FEDERAL ID
KY
Enumeration date
10/04/2006
Last updated
07/08/2007
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