Doctor Name: | KAYLIE MARIE PARRISH |
NPI Number: | 1154626679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PA159136 |
Business Practice Address: | 324 4th St Myrtle Point, OR - 974581066 |
Business Phone Number: | 5415722111 |
Business Fax Number: | 5415725743 |
Mailing Address: | 324 4th St, MYRTLE POINT |
State: | OR |
Postal Code: | 974581066 |
Phone Number: | 5415722111 |
Fax Number: | 5415725743 |
NPI Enumeration Date: | 01/13/2011 |
NPI Last Update Date: | 11/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA159136 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |