Provider Demographics
NPI:1093860116
Name:PARKER, RONNIE CHRISTOPHER (DO)
Entity Type:Individual
Prefix:MR
First Name:RONNIE
Middle Name:CHRISTOPHER
Last Name:PARKER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:META MEDICAL CENTER
Mailing Address - Street 2:8857 META HWY SUITE 2
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501
Mailing Address - Country:US
Mailing Address - Phone:606-631-1222
Mailing Address - Fax:606-631-1226
Practice Address - Street 1:META MEDICAL CENTER
Practice Address - Street 2:8857 META HWY SUITE 2
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501
Practice Address - Country:US
Practice Address - Phone:606-631-1222
Practice Address - Fax:606-631-1226
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY02815207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64087976Medicaid
I20050Medicare UPIN
KY64087976Medicaid