Individual
KATHLEEN F PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4864 E DIAMOND DR, PRESCOTT, AZ 86301-5944
(928) 778-2568
Mailing address
4864 E DIAMOND DR, PRESCOTT, AZ 86301-5944
(928) 778-2568
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/17/2008
Last updated
07/22/2015
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