Individual
KIMBERLIE R PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1414 W 4TH ST, GILLETTE, WY 82716-3328
(307) 682-6263
Mailing address
1414 W 4TH ST, GILLETTE, WY 82716-3328
(307) 682-6263
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
46823
WY
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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