Kelly Potter Parks PA-C

NPI 1184746026 - Physician Assistant - 363AM0700X

NPI Details
NPI 1184746026
Gender Female
Enumeration Date 04/04/2007
Last Updated 08/16/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
121 S FRONT ST
SEAFORD DE, 19973-3511, US
Phone (302) 629-5030
Fax (302) 629-5035
Business Location
7817 GRACE CIR
SEAFORD DE, 19973-4337, US
Phone (302) 628-3229
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Delaware
License Number C5-0000165
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According to our database, Mrs. Kelly Potter Parks PA-C NPI is 1184746026, taxonomy code is 363AM0700X and license number is C5-0000165, license state is located at Delaware. Kelly Potter Parks PA-C physically located at 121 S Front St, Seaford DE, 19973-3511. NPI Number Kelly Potter Parks PA-C has the Individual type.

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1184746026 NPI number is provided on an as is basis without warranty of any kind. 1184746026 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Potter Parks PA-C are for informational purposes only.