Individual
RAY KOHLER PARKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 MEDICAL PARK DR STE 200, BENTON, AR 72015-3732
(501) 776-3800
(501) 776-2209
Mailing address
9601 BAPTIST HEALTH DR., SUITE 690, LITTLE ROCK, AR 72205-6328
(501) 227-8422
(501) 537-2399
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C7954
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132947001
—
AR
Enumeration date
09/19/2005
Last updated
02/13/2024
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