Individual
KRISTA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12700 SOUTHFORK RD STE 153, SAINT LOUIS, MO 63128-3201
(314) 543-5283
Mailing address
12700 SOUTHFORK RD STE 153, SAINT LOUIS, MO 63128-3201
(314) 543-5283
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021043197
MO
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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