Individual
KIM PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 N JEFFERSON ST, SAINT JAMES, MO 65559-1926
(660) 438-6993
(660) 438-6943
Mailing address
PO BOX 383, WARSAW, MO 65355-0383
(660) 438-6993
(660) 438-6943
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004737
MO
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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