Search › Michigan › 124Q00000X
Keisha Parks, RDH
NPI 1932502077 · on the registry since 2014 · sole proprietor
Practice
- Address
- 5379 Crane St
Detroit, MI 48213 - Phone
- (313) 405-8972
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan