Provider Demographics
NPI:1073971628
Name:PARKER, KRISTIN (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1005 S RANGE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-3537
Mailing Address - Country:US
Mailing Address - Phone:785-460-0332
Mailing Address - Fax:785-460-0335
Practice Address - Street 1:1005 S RANGE AVE STE 200
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:KS
Practice Address - Zip Code:67701-3537
Practice Address - Country:US
Practice Address - Phone:785-460-0332
Practice Address - Fax:785-460-0335
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-10
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05777111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor