Individual
KEVIN ROBERT PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
501 ROOSEVELT BOULEVARD, ELEANOR, WV 25070
(304) 586-0886
(304) 586-1057
Mailing address
1010 MOSS CREEK DR, HURRICANE, WV 25526-9201
(304) 562-1612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005691
WV
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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