| Kimberly D Parks, CNM | |
|
1046 Mar Walt Dr Ste 200, Fort Walton Beach, FL 32547-6645 | |
| (850) 243-2229 | |
| Not Available |
| Full Name | Kimberly D Parks |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1046 Mar Walt Dr Ste 200, Fort Walton Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033457288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | APRN11028726 (Florida) | Primary |
| Entity Name | Sherman Md Provider Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841696846 PECOS PAC ID: 5193049591 Enrollment ID: O20150113000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly D Parks, CNM 3900 Joe Ramsey Blvd E Ste E, Greenville, TX 75401-7770 Ph: (903) 454-1722 | Kimberly D Parks, CNM 1046 Mar Walt Dr Ste 200, Fort Walton Beach, FL 32547-6645 Ph: (850) 243-2229 |
Alexcia Dawn Pennell, CNM, FNP-C Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1046 Mar Walt Dr # 200, Fort Walton Beach, FL 32547 Phone: 850-243-2229 | |
Kelly Ann West, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1025 Beal Pkwy Nw, Fort Walton Beach, FL 32547 Phone: 850-362-6435 |