person
Dr. Kerri Shane Parks, MD
Specialist in Glendale, California
NPI 1104893775

Kerri Shane Parks is a Specialist based in Glendale, CA. Kerri Shane Parks practices in Glendale, CA and has the professional credentials of MD. The NPI Number for Kerri Shane Parks is 1104893775 and holds a License No. A65496 (California).

The current practice location address for Kerri Shane Parks is 1808 Verdugo Blvd, Glendale, CA and can be reached out via phone at 818-952-5322 and via fax at 818-952-7993.

Location: 1808 Verdugo Blvd, Glendale, CA, 91208-1477
person
Provider Profile Details
NPI Number
1104893775
Provider Name
Kerri Shane Parks
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1808 Verdugo Blvd, Glendale, CA, 91208-1477
Phone Number
818-952-5322
Fax Number
818-952-7993
Provider Enumeration Date
03/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0102260 05 CA
institution
Provider Business Practice Location Address Details
Address
1808 Verdugo Blvd
City
State
Zip
91208-1477
Phone Number
818-952-5322
Fax Number
818-952-7993
person
Provider Business Mailing Address Details
Address
1808 Verdugo Blvd
City
State
Zip
91208-1477
Phone Number
818-952-5322
Fax Number
818-952-7993
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
A65496 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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