Individual
CRYSTAL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3216 VINE ST STE 20, HAYS, KS 67601
(785) 261-7065
(785) 261-7064
Mailing address
3216 VINE ST STE 20, HAYS, KS 67601-1988
(785) 261-7065
(785) 261-7064
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500727
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100371920E
—
KS
01
—
P01166852
MEDICARE RAILROAD
KS
01
—
P15961
MEDICARE UPIN
—
Enumeration date
01/13/2006
Last updated
08/14/2018
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