Individual
RANDY L PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
240 N ROCK RD, SUITE 303, WICHITA, KS 67206
(316) 684-3010
(316) 686-7366
Mailing address
240 N ROCK RD, SUITE 303, WICHITA, KS 67206
(316) 684-3010
(316) 686-7366
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1045
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100370650A
—
KS
Enumeration date
07/21/2006
Last updated
07/08/2007
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