Individual
KENDRA ANN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1184 E 80 N, AMERICAN FORK, UT 84003-2906
(801) 763-3885
(801) 763-3887
Mailing address
1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
2005000370
MO
363AS0400X
Surgical Physician Assistant
Primary
7047461-1206
UT
Other
Enumeration date
05/08/2006
Last updated
08/04/2023
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