Provider Demographics
NPI:1306193354
Name:PARKER, KAI IMANI (ND, CPM)
Entity Type:Individual
Prefix:DR
First Name:KAI
Middle Name:IMANI
Last Name:PARKER
Suffix:
Gender:F
Credentials:ND, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13121 RIVIERA TER
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-3582
Mailing Address - Country:US
Mailing Address - Phone:202-505-5083
Mailing Address - Fax:
Practice Address - Street 1:7215 BLAIR RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1815
Practice Address - Country:US
Practice Address - Phone:202-505-5083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP-0029175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath