KELLY POTTER PARKS

SEAFORD, DE
NPI1184746026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: DE  C5-0000165)
Enumeration Date2007-04-04
Last Update Date2007-08-16
Business Address
MRS. KELLY POTTER PARKS PA-C
121 S FRONT ST
SEAFORD, DE 19973-3511
Phone number: 302-629-5030
Mailing Address
MRS. KELLY POTTER PARKS PA-C
7817 GRACE CIR
SEAFORD, DE 19973-4337
Phone number: 302-628-3229
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