Individual
PARKER HAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-5625
Mailing address
13520 TERRACE CREEK DR APT 101, LOUISVILLE, KY 40245-5809
(801) 915-6396
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10160
KY
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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