Individual
KATHRYN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SOLANA RD STE A, PONTE VEDRA BEACH, FL 32082-2232
(904) 273-8881
(904) 280-2886
Mailing address
200 SOLANA RD STE A, PONTE VEDRA BEACH, FL 32082-2232
(904) 273-8881
(904) 280-2886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN30639
FL
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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