Individual
MRS. KENDALL PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
935 HIGHLAND BLVD STE 2210, BOZEMAN, MT 59715-6904
(406) 414-5331
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
532
MT
363AM0700X
Medical Physician Assistant
PA10004623
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780781500
—
MT
Enumeration date
09/20/2006
Last updated
04/15/2025
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