Individual provider · Type 1 NPI

Kerri Shane Parks, MD

Specialist · Glendale, CA

NPI number 1104893775 Active

Practice location

1808 Verdugo Blvd, Suite 208
Glendale, CA 91208-1477

Call (818) 952-5322 Map

Fax (818) 952-7993

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA65496 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104893775

Kerri Shane Parks, MD's National Provider Identifier is 1104893775, issued on Mar 2, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glendale, CA. The record was last updated on Dec 7, 2007.