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Contact Information

KENNETH W PARKS, DDS
636 WEST MCNEESE ST
LAKE CHARLES, LA70605
 Phone: 337-477-6124
 Fax: 337-477-6885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for KENNETH W PARKS · (Male)

NPI Number 1043326390
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 3873
  • LA Medicaid 1838730
  • Other G1204 BLUE CROSS OF LA
  • Other 807933 UNITED CONCORDIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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