Provider Demographics
NPI:1306116330
Name:DR. KEVIN G. PARSONS P.C.
Entity type:Organization
Organization Name:DR. KEVIN G. PARSONS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:641-792-2344
Mailing Address - Street 1:222 1ST ST N
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208-3232
Mailing Address - Country:US
Mailing Address - Phone:641-792-2344
Mailing Address - Fax:641-792-0482
Practice Address - Street 1:222 1ST ST N
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-3232
Practice Address - Country:US
Practice Address - Phone:641-792-2344
Practice Address - Fax:641-792-0482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA06045111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0166488Medicaid
IA0166488Medicaid