Parker, Kenneth S

Parker, Kenneth S is an individual health care provider with primary practice located at 404 S 13Th Ave , Laurel MS 39440-4345. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Parker, Kenneth S can be contacted via phone (601) 425-5544.

Contact Information

Primary practice address
404 S 13Th Ave Laurel MS 39440-4345
Phone: (601) 425-5544
Fax: (601) 425-5525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R851488 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 851488 Mississippi

Profile Details

NPI number 1407964844
LBN Legal business name Parker, Kenneth S
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Jun 18th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407964844 NPPES
Mississippi MEDICAID 02684504
Mississippi Other 3494930

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