Individual
JON CHARLES PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3715 N OLIVER ST, WICHITA, KS 67220-3404
(316) 942-4519
(316) 942-4655
Mailing address
3715 N OLIVER ST, WICHITA, KS 67220-3404
(316) 942-4519
(316) 942-4655
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
0423274
KS
Other
Enumeration date
11/04/2005
Last updated
05/13/2019
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