Parker, Kenneth R
Parker, Kenneth R is an sole proprietor health care provider with primary practice located at 1116 Millis Ave , Boonville IN 47601-2204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Parker, Kenneth R can be contacted via phone (812) 473-0181.Contact Information
Primary practice address
1116 Millis Ave
Boonville IN 47601-2204
Phone: (812) 473-0181
Fax: (812) 473-5822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01037962A | Indiana |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 01037962A | Indiana |
Profile Details
| NPI number | 1457302564 |
|---|---|
| LBN Legal business name | Parker, Kenneth R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2006 |
| Last updated | Oct 22nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457302564 | NPPES |
| Indiana | MEDICAID | 100334280 | |
| Indiana | MEDICAID | 64872856 | |
| Indiana | Other | 000000042725 | |
| Indiana | Other | 050052833 |
Popular Providers
-
Trevino, Jose D
613 Elizabeth St Ste 805, Corpus Christi TX 78404-2232 -
Revelis, Andreas Frank
10810 E 45Th St Ste 400 , Tulsa OK 74146-3806 -
Ladson, James W
2548 Rideout Ln , Murfreesboro TN 37128-7686 -
Zacharakos, Dino George
99 E River Dr 5Th Floor, East Hartford CT 06108-3288 -
Crawford, Mark K
2901 Transport St Se , Albuquerque NM 87106 -
Martucci, Martin Leo
10810 E 45Th St Ste 400 , Tulsa OK 74146-3806 -
Anthony, Clinton Scott
6802 S Olympia Ave Suite 100, Tulsa OK 74132-1823 -
Mccarty, Matthew F.
5200 Davis Lane Ste B200, Austin TX 78749