Individual
MR. JACK NEIL PARSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 RAVEN HILL DRIVE, ATCHISON, KS 66002
(913) 367-2131
(913) 674-2023
Mailing address
800 RAVEN HILL DRIVE, ATCHISON, KS 66002
(913) 367-2131
(913) 674-2023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1340229031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430000141
RR MEDICARE
KS
05
—
9159788101
—
KS
Enumeration date
05/09/2006
Last updated
04/04/2016
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