Individual
KANDE M PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
615 18TH ST S, BIRMINGHAM, AL 35233-1826
(205) 934-3411
Mailing address
105 LAKEVIEW DR, BIRMINGHAM, AL 35209-7003
(205) 243-7116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-066908
AL
Other
Enumeration date
01/12/2017
Last updated
01/31/2024
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