Individual
KRISTA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 S 70TH ST STE 100, LINCOLN, NE 68510-4293
(402) 483-4292
(402) 483-4735
Mailing address
1101 S 70TH ST STE 100, LINCOLN, NE 68510-4293
(402) 483-4292
(402) 483-4735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NE
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/24/2022
Last updated
10/04/2023
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