Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 18906 | CA |
NPI | 1104810464 |
---|---|
Provider Name | Dr. Karen Lynne Parry |
First Address | Redondo Beach, CA 90277-2133 |
Second Address | Redondo Beach, CA 90277-2133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2005 |
Last Update Date | 01/02/2010 |