Individual
DR. KENNETH SCOTT PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 POINCIANA AVE, MAMOU, LA 70554-2298
(337) 468-0355
Mailing address
801 POINCIANA AVE, MAMOU, LA 70554-2298
(337) 468-0355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
019463
LA
207R00000X
Internal Medicine Physician
Primary
MD019463
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1397521
—
LA
Enumeration date
06/02/2006
Last updated
05/27/2025
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