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Mrs. Kelly Potter Parks, PA-C
Medical Physician Assistant in Seaford, Delaware
NPI 1184746026

Kelly Potter Parks is a Medical Physician Assistant based in Seaford, DE and is specialized in Medical. Kelly Potter Parks practices in Seaford, DE and has the professional credentials of PA-C. The NPI Number for Kelly Potter Parks is 1184746026 and holds a License No. C5-0000165 (Delaware).

The current practice location address for Kelly Potter Parks is 121 S Front St, Seaford, DE and can be reached out via phone at 302-629-5030 and via fax at 302-629-5035. You can also correspond with Kelly Potter Parks through the mailing address at 7817 GRACE CIR, SEAFORD, DE - 19973-4337 (mailing address contact number: 302-628-3229).

Location: 121 S Front St, Seaford, DE, 19973-4337
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Provider Profile Details
NPI Number
1184746026
Provider Name
Kelly Potter Parks
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
121 S Front St, Seaford, DE, 19973-4337
Phone Number
302-629-5030
Fax Number
302-629-5035
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C5-0000165 01 DE STATE LICENSE NUMBER
RXPA02015 01 DE STATE PRESCRIPTION NUMBER
institution
Provider Business Practice Location Address Details
Address
121 S Front St
City
State
Zip
19973-3511
Phone Number
302-629-5030
Fax Number
302-629-5035
person
Provider Business Mailing Address Details
Address
7817 Grace Cir
City
State
Zip
19973-4337
Phone Number
302-628-3229
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C5-0000165 (Delaware)
Definition
Definition to come...
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