Kenneth R Parker Md Pc

LBN: Kenneth R Parker Md Pc
Kenneth R Parker Md Pc is an health care organization with primary practice located at 1116 Millis Ave , Boonville IN 47601-2204. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Kenneth R Parker Md Pc can be contacted via phone (812) 473-0181, or through Parker, Kenneth R via phone (812) 473-0181.

Contact Information

Primary practice address
1116 Millis Ave Boonville IN 47601-2204
Phone: (812) 473-0181
Fax: (812) 473-5822
Website:
Map and Directions
Authorized official contact:
Name: Parker, Kenneth R Doctor of Medicine (MD)
Phone: (812) 473-0181

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01037962A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01037962A Indiana

Profile Details

NPI number 1659317725
LBN Legal business name Kenneth R Parker Md Pc
DBA Doing business as
Authorized official Parker, Kenneth R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Oct 16th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659317725 NPPES
Indiana Other 000000056298 ANTHEM
Indiana MEDICAID 100334280 ANTHEM
Indiana MEDICAID 65941403 ANTHEM

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