Individual
DR. KEVIN WILSON PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3860 CRATER LAKE AVE, SUITE A, MEDFORD, OR 97504-9741
(541) 858-1003
(541) 857-4499
Mailing address
3860 CRATER LAKE AVE, SUITE A, MEDFORD, OR 97504-9741
(541) 858-1003
(541) 857-4499
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
MD26375
OR
Other
Enumeration date
05/31/2006
Last updated
12/18/2013
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