Individual
MR. JOHN KELLY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
447 W LONGLEAF DR APT 901, AUBURN, AL 36832-7414
(256) 690-2124
Mailing address
447 W LONGLEAF DR APT 901, AUBURN, AL 36832-7414
(256) 690-2124
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12774
AL
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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