NPI 1457945644

Kelvin Vashaughn Parker

Practitioner Driver Little Rock, AR

Practice location

Address: 2101 Dorchester Dr, Little Rock, AR 72204-3446
Phone: (501) 348-5963

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 906611532 (AR)

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Registry record

NPI: 1457945644
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2021
Record last updated: 27 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.