Provider Demographics
NPI:1487416590
Name:KARLA N PARKES, PLLC
Entity type:Organization
Organization Name:KARLA N PARKES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKES
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP-C
Authorized Official - Phone:701-549-2888
Mailing Address - Street 1:1218 DELANO AVE
Mailing Address - Street 2:
Mailing Address - City:WALHALLA
Mailing Address - State:ND
Mailing Address - Zip Code:58282
Mailing Address - Country:US
Mailing Address - Phone:303-993-9882
Mailing Address - Fax:
Practice Address - Street 1:1218 DELANO AVE
Practice Address - Street 2:
Practice Address - City:WALHALLA
Practice Address - State:ND
Practice Address - Zip Code:58282
Practice Address - Country:US
Practice Address - Phone:303-993-9882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty