Individual
DR. KENNETH C. PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
6151 SHALLOWFORD RD STE 104, CHATTANOOGA, TN 37421-7803
(423) 894-1133
(423) 894-0292
Mailing address
6151 SHALLOWFORD RD STE 104, CHATTANOOGA, TN 37421-7803
(423) 894-1133
(423) 894-0292
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A71
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3086884
BCBS ID
TN
01
—
62-1066612
TAX ID
TN
Enumeration date
02/13/2007
Last updated
12/20/2022
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