Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH R PARKER, MD
Active Sole ProprietorKENNETH R PARKER, MD is a Pain Medicine (Anesthesiology) healthcare provider located in BOONVILLE, Indiana. NPI 1457302564 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · BOONVILLE, IN
Registration Details
- NPI Number
- 1457302564
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2006 (20.299612376441 yrs)
- Last Updated
- Oct 22, 2020
- Licenses
-
01037962A (IN)01037962A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1116 MILLIS AVEBOONVILLE, IN, 476012204Browse IN providers · Browse ZIP 47601
- Phone
- 8124730181
- Fax
- 8124735822
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
- Additional Specialty
- Pain Medicine (Anesthesiology)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.