Provider Demographics
NPI:1942624051
Name:PARISH, KYLE (CPM)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:PARISH
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:KYLE
Other - Middle Name:K
Other - Last Name:PARISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPM
Mailing Address - Street 1:1130 S CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-2913
Mailing Address - Country:US
Mailing Address - Phone:316-803-1562
Mailing Address - Fax:316-803-1562
Practice Address - Street 1:3227 N CROMWELL DR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67204-4447
Practice Address - Country:US
Practice Address - Phone:316-209-3559
Practice Address - Fax:316-803-1562
Is Sole Proprietor?:No
Enumeration Date:2014-02-10
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18110002176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife