Individual
KEVIN PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10388 NORTH STREET, MIDDLEBURG, OH 43336
(937) 537-0697
Mailing address
PO BOX 61, MIDDLEBURG, OH 43336-0061
(937) 537-0697
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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