Individual
MR. KEVIN N PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1700 FULTON ST E, GRAND RAPIDS, MI 49506-1801
(616) 828-6304
Mailing address
1700 FULTON ST E, GRAND RAPIDS, MI 49506-1801
(616) 828-6304
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
05/03/2018
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