Healthcare Provider Details

I. General information

NPI: 1487416590
Provider Name (Legal Business Name): KARLA N PARKES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2024
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 DELANO AVE
WALHALLA ND
58282
US

IV. Provider business mailing address

1218 DELANO AVE
WALHALLA ND
58282
US

V. Phone/Fax

Practice location:
  • Phone: 303-993-9882
  • Fax:
Mailing address:
  • Phone: 303-993-9882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KARLA PARKES
Title or Position: PRESIDENT
Credential: ARNP-C
Phone: 701-549-2888