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NPI Code Detail

MEDICARE: KRISTI MICHELLE PARKER P. A.

MEDICARE: KRISTI MICHELLE PARKER P. A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant1408OK

General Provider Information

NPI Number : 1427058809
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI MICHELLE PARKER P. A.
Provider Business Mailing Address
First Line : 3901 N MIDWEST BLVD
Second Line :
City : EDMOND
State : OK
Zip : 73034-8456
Country : US
Telephone Number : 405-359-2726
Fax Number :
Provider Business Practice Location Address
First Line : 11000 HEFNER POINTE DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-5039
Country : US
Telephone Number : 405-749-9655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 08/09/2013

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Directions to “ KRISTI MICHELLE PARKER P. A.” Practice Location

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