Organization
DR. KIMBERLY PARKS OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY PARKS OD (OWNER)
(865) 310-7565
Entity
Organization
Contact information
Practice address
1903 MAPLE ST, WHITE PINE, TN 37890-3847
(865) 761-0557
(865) 761-0417
Mailing address
3011 BELL RD, WHITE PINE, TN 37890-3102
(865) 310-7565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
07/21/2021
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