KERRI S. PARKS M. D. A PROFESSIONAL MEDICAL CORPORATION NPI 1942483375

NPI Information

KERRI S. PARKS, M. D., A PROFESSIONAL MEDICAL CORPORATION is a specialist in Glendale, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KERRI S. PARKS, M. D., A PROFESSIONAL MEDICAL CORPORATION NPI is 1942483375. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1808 VERDUGO BLVD
#208
GLENDALE, CA
ZIP 91208-477
Phone: (818) 952-5322
Fax: (818) 952-7993

The provider's authorized official is Kerri Shane Parks .
The authorized official title is President/ M.d. and has the following contact phone number (818) 952-5322.

The enumeration date for this NPI number is 12/7/2007 and was last updated on 8/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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