Individual
MICHAEL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 632-2230
(913) 632-2297
Mailing address
6552 SW 24TH CT, TOPEKA, KS 66614-5607
(785) 806-4006
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-44518
KS
207L00000X
Anesthesiology Physician
125069329
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201341520A
—
KS
01
—
64180014
BCBS KC
KS
Enumeration date
04/25/2016
Last updated
09/08/2021
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