Provider Demographics
NPI:1942450846
Name:PARKINSON, STEPHEN KELLER (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:KELLER
Last Name:PARKINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3831 NORTH FREEWAY BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834
Mailing Address - Country:US
Mailing Address - Phone:916-993-8535
Mailing Address - Fax:916-285-5274
Practice Address - Street 1:3831 NORTH FREEWAY BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834
Practice Address - Country:US
Practice Address - Phone:916-993-8535
Practice Address - Fax:916-285-5274
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG50111208VP0014X, 207L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine