Individual
DR. KENNETH S PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3805 CHEROKEE ST NW, KENNESAW, GA 30144-2085
(770) 426-5666
(770) 426-9212
Mailing address
3805 CHEROKEE ST NW, KENNESAW, GA 30144-2085
(770) 426-5666
(770) 426-9212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039898
GA
Other
Enumeration date
10/27/2005
Last updated
12/09/2011
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