person
Kelvin Vashaughn Parker SR.
Driver in Little Rock, Arkansas
NPI 1457945644

Kelvin Vashaughn Parker SR. is a Driver based in Little Rock, AR. Kelvin Vashaughn Parker SR. practices in Little Rock, AR. The NPI Number for Kelvin Vashaughn Parker SR. is 1457945644 and holds a License No. 906611532 (Arkansas).

The current practice location address for Kelvin Vashaughn Parker SR. is 2101 Dorchester Dr, Little Rock, AR and can be reached out via phone at 501-348-5963.

Location: 2101 Dorchester Dr, Little Rock, AR, 72204-3446
person
Provider Profile Details
NPI Number
1457945644
Provider Name
Kelvin Vashaughn Parker SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2101 Dorchester Dr, Little Rock, AR, 72204-3446
Phone Number
501-348-5963
Fax Number
Provider Enumeration Date
02/27/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
86-2265943 05 AR
institution
Provider Business Practice Location Address Details
Address
2101 Dorchester Dr
City
State
Zip
72204-3446
Phone Number
501-348-5963
Fax Number
person
Provider Business Mailing Address Details
Address
2101 Dorchester Dr
City
State
Zip
72204-3446
Phone Number
501-348-5963
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
906611532 (Arkansas)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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