Individual
DR. KENNETH CARROLL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36 MCMILLEN DR, NEWARK, OH 43055-1809
(220) 564-4270
(220) 564-4272
Mailing address
36 MCMILLEN DR, NEWARK, OH 43055-1809
(220) 564-4270
(220) 564-4272
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
35-008826
OH
207YS0123X
Facial Plastic Surgery Physician
35088266
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2676279
—
OH
Enumeration date
04/21/2006
Last updated
03/24/2023
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