Kyle Parks in Coralville - Physician Assistant

Kyle Parks - NPI 1164494019

Kyle Parks is a Physician Assistant in Coralville, Iowa. Kyle Parks practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kyle Parks is 1164494019. The last update date is 2017-02-07.

Kyle Parks's current location address is 2700 Coral Ridge Ave, Coralville, Iowa. You can contact this provider via phone number 3196656730 and fax number 3196656721. The mailing address for Kyle Parks is 2700 Coral Ridge Ave, Coralville, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Kyle Parks
Address 2700 Coral Ridge Ave, Coralville, Iowa
Phone Number 3196656730
Fax Number 3196656721
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1164494019
Provider Enumeration Date 2006-02-05
Last Updated Date 2017-02-07

Provider Mailing Address Detail

Address 2700 Coral Ridge Ave
City Coralville
State Iowa (IA)
Post Code 522414708
Phone Number 3196656730
Fax Number 3196656721

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1526
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1164494019 IA --

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FAQs about Kyle Parks

What is the unique 10-digit identifier code assigned to Kyle Parks by the Centers for Medicare & Medicaid Services?

The Kyle Parks has been issued the NPI (National Provider Identifier) 1164494019 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Kyle Parks is physically located?

The Kyle Parks is situated at the following address: 2700 Coral Ridge Ave, Coralville, IA 522414708.

What is Kyle Parks's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kyle Parks is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

When did Kyle Parks receive its 1164494019 assignment?

The Kyle Parks was assigned its 1164494019 on 2006-02-05, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Kyle Parks most recently updated or revised?

The information pertaining to Kyle Parks, including its address, specialty, and other relevant details, was last updated or revised on 2017-02-07.

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