Parks, Kendall
Parks, Kendall is an individual health care provider with primary practice located at 937 Highland Blvd Ste 5510 , Bozeman MT 59715-6916. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Parks, Kendall can be contacted via phone (406) 414-3959.Contact Information
Primary practice address
937 Highland Blvd Ste 5510
Bozeman MT 59715-6916
Phone: (406) 414-3959
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10004623 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 532 | Montana |
Profile Details
| NPI number | 1780781500 |
|---|---|
| LBN Legal business name | Parks, Kendall |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 26th, 2021 - about 5 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780781500 | NPPES |
| Montana | MEDICAID | 1780781500 |
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