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Individual

DR. KENNETH PARKER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
441 PARK AVE, 2ND FLOOR, SAN JOSE, CA 95110-2615
(408) 287-2640
(408) 287-7428
Mailing address
PO BOX 6831, SAN JOSE, CA 95150-6831
(408) 612-4935

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY9141
CA

Other

Enumeration date
12/28/2007
Last updated
04/22/2017
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