Provider Demographics
NPI:1992010623
Name:HABERLY, PARKER S (PHD)
Entity Type:Individual
Prefix:DR
First Name:PARKER
Middle Name:S
Last Name:HABERLY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15223 E ZIMMERLY CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67230-9244
Mailing Address - Country:US
Mailing Address - Phone:316-733-9466
Mailing Address - Fax:
Practice Address - Street 1:15223 E ZIMMERLY CT
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67230-9244
Practice Address - Country:US
Practice Address - Phone:316-733-9466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic