Parks, Kevin Wilson

Parks, Kevin Wilson is an individual health care provider with primary practice located at 3860 Crater Lake Ave Suite A, Medford OR 97504-9741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Parks, Kevin Wilson can be contacted via phone (541) 858-1003.

Contact Information

Primary practice address
3860 Crater Lake Ave Suite A Medford OR 97504-9741
Phone: (541) 858-1003
Fax: (541) 857-4499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X MD26375 Oregon

Profile Details

NPI number 1467499475
LBN Legal business name Parks, Kevin Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Dec 18th, 2013 - about 13 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.

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