Provider Demographics
NPI:1083397111
Name:PARKER, KARIE DANIELLE
Entity Type:Individual
Prefix:
First Name:KARIE
Middle Name:DANIELLE
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:LARNED
Mailing Address - State:KS
Mailing Address - Zip Code:67550-2610
Mailing Address - Country:US
Mailing Address - Phone:620-264-0285
Mailing Address - Fax:
Practice Address - Street 1:312 E 9TH ST
Practice Address - Street 2:
Practice Address - City:LARNED
Practice Address - State:KS
Practice Address - Zip Code:67550-2610
Practice Address - Country:US
Practice Address - Phone:620-264-0285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician