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Individual

KEVIN PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2598 E SUNRISE BLVD STE 2104, FT LAUDERDALE, FL 33304-3230
(202) 302-4864
Mailing address
2598 E SUNRISE BLVD STE 2104, FT LAUDERDALE, FL 33304-3230

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
921189
NY
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
ME121999
FL
2085R0202X
Diagnostic Radiology Physician
01089698A
IN
2085R0202X
Diagnostic Radiology Physician
EMC0005267
MI
2085R0202X
Diagnostic Radiology Physician
ME121999
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300074153
IL
Enumeration date
06/10/2008
Last updated
02/24/2025
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