Individual
MR. KYLE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2700 CORAL RIDGE AVE, CORALVILLE, IA 52241-4708
(319) 665-6730
(319) 665-6721
Mailing address
2700 CORAL RIDGE AVE, CORALVILLE, IA 52241-4708
(319) 665-6730
(319) 665-6721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001526
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164494019
—
IA
Enumeration date
02/05/2006
Last updated
01/31/2025
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