Individual provider · Type 1 NPI
Kelly Potter Parks, PA-C
Medical Physician Assistant · Seaford, DE
NPI number
1184746026
Active
Practice location
121 S Front St
Seaford, DE 19973-3511
Fax (302) 629-5035
Mailing address
7817 Grace Cir
Seaford, DE 19973-4337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C5-0000165 (DE) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Seaford
About NPI 1184746026
Kelly Potter Parks, PA-C's National Provider Identifier is 1184746026, issued on Apr 4, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Seaford, DE. The record was last updated on Aug 16, 2007.