Individual
GREGORY K PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP
Contact information
Practice address
101 S 5TH ST STE 2500, LOUISVILLE, KY 40202-3066
(574) 546-1900
(574) 546-1999
Mailing address
PO BOX 10299, FORT WAYNE, IN 46851-0299
(574) 546-1900
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3011789
KY
363LG0600X
Gerontology Nurse Practitioner
71010192A
IN
Other
Enumeration date
10/10/2017
Last updated
07/24/2020
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