NPI 1477902815

Kathy Parker

Practitioner Dental Therapist Ft Benning, GA

Practice location

Address: 2828 Sightseeing Rd, Ft Benning, GA 31905
Phone: (706) 545-4627
Mailing address: 3307 Hummingbird CT, Phenix City, AL 36867-7127

Registered specialties

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence XXXXX (KY)

Other Dental Therapist providers in Georgia →

Registry record

NPI: 1477902815
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2016
Record last updated: 7 Jun 2016

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.