Individual
KENNETH L PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
105 KEETON DR, HOPKINSVILLE, KY 42240-8756
(270) 889-0701
(270) 889-0556
Mailing address
105 KEETON DR, HOPKINSVILLE, KY 42240-8756
(270) 889-0701
(270) 889-0556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA860
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95004917
—
KY
Enumeration date
04/26/2006
Last updated
06/10/2020
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