Individual provider · Type 1 NPI

Kenneth S. Parker, ACNP

Acute Care Nurse Practitioner · Laurel, MS

NPI number 1407964844 Active

Practice location

1203 Jefferson St
Laurel, MS 39440-4354

Fax (601) 649-9479

Mailing address

PO Box 247
Laurel, MS 39441-0247

Other practice locations

  • 404 S 13th Ave, Laurel, MS 39440-4345 · (601) 425-5544

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XR851488 (MS)
Acute Care Nurse Practitioner Primary 363LA2100X851488 (MS)

Acute Care Nurse Practitioner: Definition to come...

45 other providers at this address

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About NPI 1407964844

Kenneth S. Parker, ACNP's National Provider Identifier is 1407964844, issued on Aug 27, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Laurel, MS. The record was last updated on Oct 8, 2026.