Parks, Kyle
Parks, Kyle is an individual health care provider with primary practice located at 2700 Coral Ridge Ave , Coralville IA 52241-4708. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Parks, Kyle can be contacted via phone (319) 665-6730.Contact Information
Primary practice address
2700 Coral Ridge Ave
Coralville IA 52241-4708
Phone: (319) 665-6730
Fax: (319) 665-6721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001526 | Iowa |
Profile Details
| NPI number | 1164494019 |
|---|---|
| LBN Legal business name | Parks, Kyle |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2006 |
| Last updated | Jan 31st, 2025 - about last year |
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 | 1164494019 | NPPES |
| Iowa | MEDICAID | 1164494019 |
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