Dr. Kenneth W Parks
Endodontist
636 West Mcneese St
Lake Charles
, Louisiana 70605
Dr. Kenneth W Parks
Endodontist
636 West Mcneese St
Lake Charles
, Louisiana 70605
(337) 477-6885
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Kenneth W Parks
- 636 West Mcneese St
- Lake Charles, LA
- Zip : 70605
- Fax : (337) 477-6885
- Phone : (337) 477-6124
Second Address
- Dr. Kenneth W Parks
- 636 West Mcneese St
- Lake Charles, LA
- Zip : 70605
- Fax : (337) 477-6885
- Phone : (337) 477-6124
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 3873 | LA |
National Provider Identifier
| NPI | 1043326390 |
|---|---|
| Provider Name | Dr. Kenneth W Parks |
| First Address | Lake Charles, LA 70605 |
| Second Address | Lake Charles, LA 70605 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1838730 | (05) | LA |
| 807933 | UNITED CONCORDIA (01) | |
| G1204 | BLUE CROSS OF LA (01) |
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.