Individual
KIM LOUISE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
700 24TH STREET, FORT LEE, VA 23801-1716
(804) 734-9993
(804) 734-9312
Mailing address
700 24TH STREET, FORT LEE, VA 23801-1716
(804) 734-9993
(804) 734-9312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024168364
VA
Other
Enumeration date
07/18/2005
Last updated
03/05/2012
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