Most Relevant Information
Provider Data
| NPI Number: | 1003462615 |
| Provider Name: | KELLY MARIE PARKS NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN.CNP.025199 |
Most Important Dates
| Enumeration Date: | 08/11/2019 |
| Last Updated: | 09/12/2019 |
Provider Practice Location
226 E PERKINS AVE
SANDUSKY
OH
448704905
Practice Location Phone/Fax
| Phone: | 4192392626 |
| Fax: |
Provider Mailing Location
226 E PERKINS AVE
SANDUSKY
OH
448704905
Provider Mailing Phone/Fax
| Phone: | 4192392626 |
| Fax: |