Individual
MR. KENNETH W PARKER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1783 LAKENOLL DR, CINCINNATI, OH 45231-5115
(513) 295-5573
Mailing address
1783 LAKENOLL DR, CINCINNATI, OH 45231-5115
(513) 295-5573
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
4008022071008
OH
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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