Parks, Kelly
Parks, Kelly is an individual health care provider with primary practice located at 26520 Cactus Ave , Moreno Valley CA 92555-3927. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Parks, Kelly can be contacted via phone (951) 486-4000.Contact Information
Primary practice address
26520 Cactus Ave
Moreno Valley CA 92555-3927
Phone: (951) 486-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E5531 | California |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | E5531 | California |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E5531 | California |
Profile Details
NPI number | 1962854471 |
---|---|
LBN Legal business name | Parks, Kelly |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2016 |
Last updated | Jun 5th, 2024 - about 5 months 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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