Dr. Kenneth Carroll Parker
Facial Plastic Surgeon
36 Mcmillen Dr
Newark
, Ohio 43055-1809
Dr. Kenneth Carroll Parker
Facial Plastic Surgeon
36 Mcmillen Dr
Newark
, Ohio 43055-1809
(220) 564-4272
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kenneth Carroll Parker
- 36 Mcmillen Dr
- Newark, OH
- Zip : 43055-1809
- Fax : (220) 564-4272
- Phone : (220) 564-4270
Second Address
- Dr. Kenneth Carroll Parker
- 36 Mcmillen Dr
- Newark, OH
- Zip : 43055-1809
- Fax : (220) 564-4272
- Phone : (220) 564-4270
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 35-008826 | OH |
National Provider Identifier
| NPI | 1841256765 |
|---|---|
| Provider Name | Dr. Kenneth Carroll Parker |
| First Address | Newark, OH 43055-1809 |
| Second Address | Newark, OH 43055-1809 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/04/2006 |
| Last Update Date | 20/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2676279 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.