Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 3060 | TX |
NPI | 1093165177 |
---|---|
Provider Name | Dr. Kalani Amber Parker |
First Address | Fort Hood, TX 76544 |
Second Address | Fort Hood, TX 76544-5060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2016 |
Last Update Date | 14/10/2020 |