Individual
KATHLEEN BLAIR PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1613 N MCKENZIE ST, FOLEY, AL 36535-2247
(251) 949-3711
(251) 949-3715
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(251) 949-3711
(251) 949-3715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-103337
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03982800
—
MS
05
—
146917
—
AL
05
—
243124
—
AL
Enumeration date
02/29/2012
Last updated
10/10/2025
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